MINNESOTA TEEN CHALLENGE, INC.


Address: 100 Garrison Ave Ne, Buffalo, MN 55313
Phone: 6123733366

MINNESOTA TEEN CHALLENGE, INC. (NPI# 1235514118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235514118
Entity Type Organization
Organization Name MINNESOTA TEEN CHALLENGE, INC.
Other Organization Name MN ADULT & TEEN CHALLENGE, INC.
Practice Address 100 Garrison Ave Ne
Buffalo
MN 55313
Mailing Address 740 E 24th St
Minneapolis
MN 55404
Practice Telephone 6123733366
Practice Fax Number 6123334111
Mailing Telephone 6123733366
Mailing Fax Number 6123334111
Enumeration Date 2015-07-21
Last Update Date 2017-04-20
Authorized Official Name DEBRA WARNER (BILLING MANAGER)
Authorized Official Telephone 6122386528
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
MN Adult & Teen Challenge, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831574797 Minnesota Teen Challenge, Inc. Counselor 740 E 24th St, Minneapolis, MN 55404 2015-07-21
1538325980 Minnesota Teen Challenge, Inc. Substance Abuse Rehabilitation Facility 1 East 1st Street, Duluth, MN 55802 2008-08-05
1932278538 Minnesota Teen Challenge, Inc. Substance Abuse Rehabilitation Facility 1717 2nd Ave S, Minneapolis, MN 55403 2006-11-07
1194802710 Minnesota Teen Challenge, Inc. Substance Abuse Rehabilitation Facility 3231 1st Ave S, Minneapolis, MN 55408-4407 2006-11-01
1154977056 Minnesota Teen Challenge, Inc. Substance Abuse Rehabilitation Facility 2756 Douglas Dr N, Crystal, MN 55422-2402 2019-08-15
1285057539 Minnesota Teen Challenge, Inc. Counselor 1530 Assisi Dr Nw, Rochester, MN 55901 2014-01-22

Office Location

Street Address 100 GARRISON AVE NE
City BUFFALO
State MN
Zip Code 55313

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1386279610 Julie Lee Pharmacist 1300 Hwy 55, Buffalo, MN 55313 2020-03-06
1023510591 Brenda Renee Bakken Licensed Practical Nurse 25 1st Ave Ne Suite 100, Buffalo, MN 55313 2018-03-01
1760938716 Karen Kahler Counselor 1772 Donnelly Dr Nw, Buffalo, MN 55313 2016-08-30
1912391723 Cassandra Loeffler Chiropractor 1200 Mn 25, Buffalo, MN 55313 2015-03-19
1134531395 Total Health and Wellness, Inc. Chiropractor 639 Ryan's Way, Buffalo, MN 55313 2014-05-22
1366797946 Brenda Kay Lenz Nurse Practitioner 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 2012-07-19
1801190327 Professional Counseling Center Community/Behavioral Health 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 2010-12-23
1619140456 Lisa Marlene Marty Speech-Language Pathologist 2144 County Rd 12 South, Buffalo, MN 55313 2008-04-11
1891905568 Melissa Rae Hendrickson Dietitian, Registered 303 Catlin St., Buffalo, MN 55313 2007-05-23
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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NPI Name Taxonomy Address Enumeration
1447630892 Businesswithinu Alliance, LLC Exclusive Provider Organization 1920 Niagara St, Apt 7, Buffalo, NY 14207-2700 2015-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336658277 Minnesota Teen Challenge Exclusive Provider Organization 1542 Assisi Drive Nw, Rochester, MN 55901 2017-09-22
1578099966 Citywide Home Care LLC Exclusive Provider Organization 322 S 2nd St, Suite 205, Minneapolis, MN 55401-3828 2017-05-04
1912440256 Halbur/witham, LLC Exclusive Provider Organization 2623 125th St Ne, Rice, MN 56367-9746 2016-11-18
1962958611 Centracare Clinic Exclusive Provider Organization 166 19th Street S, Suite 202, Sartell, MN 56377 2016-08-31
1760837082 Kathryn Pearson-brevik Exclusive Provider Organization 6483 Heritage Trl, Gilbert, MN 55741-8029 2016-04-25
1427415249 Waano Foundation Exclusive Provider Organization 393 Dunlap St N Ste 400k, Saint Paul, MN 55104-4235 2016-01-25
1538534037 Community Care Services LLC Exclusive Provider Organization 1070 Henslow Ave N, Oakdale, MN 55128-5858 2015-12-09
1407249477 Infinite Health Collaborative, Pa Exclusive Provider Organization 6754 Valley View Rd, Edina, MN 55439-1761 2015-03-14
1841698339 Kingdom In Action Exclusive Provider Organization 9500 Minnetonka Blvd, St Louis Park, MN 55426-2944 2014-12-15
1356745681 Sonder Chiropractic, P.a. Exclusive Provider Organization 1049 Comstock Dr, 107, Deer River, MN 56636-9708 2014-10-15
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Competitor

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City BUFFALO
Zip Code 55313

Improve Information

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Dataset Information

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.

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