SPECIALIZED TREATMENT SERVICES, INC. - BROOKLYN PARK (NPI# 1023362027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023362027 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED TREATMENT SERVICES, INC. - BROOKLYN PARK |
| Practice Address |
7472 Lakeland Blvd Brooklyn Park MN 55428-0000 |
| Mailing Address |
1132 Central Ave Ne Minneapolis MN 55413-1512 |
| Practice Telephone | 6122361700 |
| Practice Fax Number | 6122361743 |
| Mailing Telephone | 6122361700 |
| Mailing Fax Number | 6122361743 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MR. CORY WILLIAM EDWARD VEECK (BILLING MANAGER) |
| Authorized Official Telephone | 6129025916 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIALIZED TREATMENT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1063313 | MN | Ambulatory Health Care Facilities |
| Street Address |
7472 LAKELAND BLVD |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55428-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760657076 | Bph, Inc. | Clinic/Center | 4109 Ritchie Hwy, Brooklyn Park, MD 21225-2703 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942659669 | Bloomington Treatment Services, LLC | Clinic/Center | 4294 Dahlberg Dr, Golden Valley, MN 55422-4805 | 2016-06-03 |
| 1225464134 | Specialized Treatment Services, Inc. | Clinic/Center | 311 Spruce St, Saint Paul, MN 55101-2446 | 2013-09-24 |
| 1215143441 | Metro Treatment of Minnesota Lp | Clinic/Center | 2311 Woodbridge St, Roseville, MN 55113-4710 | 2007-05-15 |
| 1497961759 | Metro Treatment of Minnesota Lp | Clinic/Center | 11939 West River Hills Dr, Burnsville, MN 55337-1354 | 2007-05-15 |
| 1518173038 | Metro Treatment of Minnesota Lp | Clinic/Center | 2360 North Broadway, Rochester, MN 55906-4065 | 2007-05-14 |
| 1750435459 | Northern Lakes Clinic, Inc. | Clinic/Center | 301 America Ave Nw, Bemidji, MN 56601-3120 | 2007-01-22 |
| 1679858039 | Specialized Treatment Services, Inc. | Clinic/Center | 1132 Central Ave Ne, Minneapolis, MN 55413-1512 | 2011-10-18 |
| 1871872796 | Specialized Treatment Services Inc. | Clinic/Center | 1121 Jackson St Ne Ste 105, Minneapolis, MN 55413-1665 | 2011-08-09 |
| 1881972503 | Valhalla Place Brainerd LLC | Clinic/Center | 2215 S 6th St, Brainerd, MN 56401-5549 | 2011-07-29 |
| City | BROOKLYN PARK |
| Zip Code | 55428 |
Please comment or provide details below to improve the information on SPECIALIZED TREATMENT SERVICES, INC. - BROOKLYN PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.