WILD RIVER SERVICES (NPI# 1285095778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285095778 |
| Entity Type | Organization |
| Organization Name | WILD RIVER SERVICES |
| Other Organization Name | THE HEIGHTS UNIVERSITY |
| Practice Address |
1246 University Ave W Ste 101 Saint Paul MN 55104-4125 |
| Practice Telephone | 6515589522 |
| Mailing Telephone | 6515589522 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | COLIN KELLY FAULKNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6515589522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1080800 | MN | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1084328 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Heights University | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679988109 | Wild River Services | Substance Abuse Rehabilitation Facility | 796 Capitol Hts, Saint Paul, MN 55103-1852 | 2014-06-23 |
| Street Address |
1246 UNIVERSITY AVE W STE 101 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333810 | Alexander Bigus | Counselor | 1246 University Ave W Ste 101, Saint Paul, MN 55104-4125 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1205446044 | Breakthrough | Clinic/Center | 2147 University Ave W, Saint Paul, MN 55114-1313 | 2020-08-06 |
| 1639798101 | American Indian Family Center | Clinic/Center | 579 Wells St, Saint Paul, MN 55130-4134 | 2020-04-14 |
| 1104309434 | Roots Recovery | Clinic/Center | 393 Dunlap St N Ste 736, Saint Paul, MN 55104-4205 | 2018-09-12 |
| 1730696857 | Brenda A Nelson | Clinic/Center | 220 Robert St S Ste 104, Saint Paul, MN 55107-1626 | 2018-01-10 |
| 1821504937 | New Way Treatment Center LLC | Clinic/Center | 220 Robert St S Ste 104, Saint Paul, MN 55107-1626 | 2017-12-27 |
| 1033655329 | Elite Recovery | Clinic/Center | 1145 Grand Ave, Saint Paul, MN 55105-2629 | 2017-01-11 |
| 1891152039 | Nurturing House, LLC | Clinic/Center | 540 Fairview Ave N Ste 303, Saint Paul, MN 55104-1796 | 2016-01-19 |
| 1164737326 | Community Addiction Recovery Enterprise- | Clinic/Center | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2010-08-12 |
| 1801003090 | Conceptual Counseling, Inc. | Clinic/Center | 287 6th St E, Ste 300, Saint Paul, MN 55101-1654 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340036 | Humble Recovery | Clinic/Center | 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 | 2020-03-10 |
| 1366096307 | Centered On Youth | Clinic/Center | 3210 Oliver Ave N, Minneapolis, MN 55412-2316 | 2019-07-29 |
| 1881250785 | Adap Consulting | Clinic/Center | 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 | 2019-05-15 |
| 1821550005 | Coscarelli Consulting, LLC | Clinic/Center | 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 | 2019-04-04 |
| 1669943908 | Capital Health Services LLC | Clinic/Center | 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 | 2018-12-16 |
| 1013497916 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 | 2018-08-20 |
| 1780186130 | Alliance Wellness Clinic Inc. | Clinic/Center | 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 | 2018-03-01 |
| 1447795596 | Conceptual Counseling & Assessment | Clinic/Center | 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 | 2016-12-28 |
| 1871035568 | No Other Way (now) Recovery Services LLC | Clinic/Center | 1614 W 3rd St, Red Wing, MN 55066-2086 | 2016-11-11 |
| 1104374073 | Lakes Opioid Treatment Program, Inc | Clinic/Center | 8381 Lake Land Trl Nw, Walker, MN 56484-2109 | 2016-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| 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.