KINNIC FALLS ALCOHOL-DRUG ABUSE SERVICES, INC. (NPI# 1417041310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417041310 |
Entity Type | Organization |
Organization Name | KINNIC FALLS ALCOHOL-DRUG ABUSE SERVICES, INC. |
Practice Address |
900 So Orange St River Falls WI 54022 |
Mailing Address |
902 So Orange St River Falls WI 54022 |
Practice Telephone | 7154265950 |
Practice Fax Number | 7154265941 |
Mailing Telephone | 7154265950 |
Mailing Fax Number | 7154265963 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JOHN M GERBER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7154265950 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 1458 | WI | Residential Treatment Facilities |
Street Address |
900 SO ORANGE ST |
City | RIVER FALLS |
State | WI |
Zip Code | 54022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437705225 | Speech Remedies LLC | Speech-Language Pathologist | 120 E Johnson St, River Falls, WI 54022 | 2019-08-16 |
1861998858 | Maegan Kay Olson | Specialist/Technologist | 185 Emogene Nelson Ave, River Falls, WI 54022 | 2018-03-30 |
1336539386 | Erin Mcniff-kirby | Counselor | 215 N 2nd St Ste 108, River Falls, WI 54022 | 2015-01-29 |
1215376744 | Romaine S. Hanson | Dietitian, Registered | N8072 State Road 29, River Falls, WI 54022 | 2013-06-18 |
1881904506 | John Laughlin IIi | Dentist | N7915 902nd St., River Falls, WI 54022 | 2010-10-15 |
1770705576 | Nora Edith Reid | Speech-Language Pathologist | W10356 Hwy 29, River Falls, WI 54022 | 2007-05-02 |
1790834885 | Sharyl Anne Samargia | Speech-Language Pathologist | 410 South Third St, River Falls, WI 54022 | 2007-01-09 |
1689721110 | Naomi Hashimoto | Speech-Language Pathologist | 410 S Third St, Speech Hearing Clinic, River Falls, WI 54022 | 2007-01-05 |
1255402582 | Stephen Schwalbach | Dentist | 650 South Main St, River Falls, WI 54022 | 2006-11-10 |
1225124290 | David A Page | Dentist | 107 East Locust Street, River Falls, WI 54022 | 2006-10-05 |
Find all providers in zip 54022 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
Find all providers with the same taxonomy |
City | RIVER FALLS |
Zip Code | 54022 |
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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.