OrganizationActive
Phoenix
NPI 1972118438 · Voluntary or Charitable Agency · North Branch, MN
Phoenix is a Voluntary or Charitable Agency organization in North Branch, MN (NPI 1972118438).
Provider details
- NPI number
- 1972118438
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeremy Kortus, Co-Founder(651) 795-8759
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6697 Elm St
North Branch, MN 55056-7045
Phone: (651) 795-8759
Street-level locationGet directions
Mailing address
6697 Elm St
North Branch, MN 55056-7045
Other names (DBA / former)
- Doing business as
- Phoenix
Registry dates
- Enumerated
- 2020-09-11
- Last updated
- 2020-09-11
- Certified
- 2020-09-11
Frequently asked questions
- What is Phoenix's NPI number?
- Phoenix's National Provider Identifier (NPI) is 1972118438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix?
- Phoenix is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is Phoenix located?
- Phoenix's practice location on file with NPPES is 6697 Elm St, North Branch, MN 55056-7045.
- What is Phoenix's phone number?
- The practice phone number listed in the NPPES registry for Phoenix is (651) 795-8759.
- Who is the authorized official for Phoenix?
- The authorized official listed on Phoenix's NPPES record is Jeremy Kortus, Co-Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix's NPI active?
- Yes — Phoenix's NPI (1972118438) is active in the NPPES registry as of the last update on 2020-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.