OrganizationActive
Northway Academy, Inc.
NPI 1912645516 · Developmental Disabilities Clinic/Center · Saint Michael, MN
Provider details
- NPI number
- 1912645516
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst Gc(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12070 43rd St Ne
Saint Michael, MN 55376-8427
Phone: (952) 563-2207
Fax: (952) 922-6885
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Other names (DBA / former)
- Other name
- Northway Academy, Inc. St. Michael
- Other name
- Northway Academy, Inc. St. Michael
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.