COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER (NPI# 1487715033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487715033 |
Entity Type | Organization |
Organization Name | COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER |
Other Organization Name | CBHH-BAXTER |
Practice Address |
14241 Grand Oaks Drive Baxter MN 56425 |
Mailing Address |
Po Box 64979 Saint Paul MN 55164-0979 |
Practice Telephone | 2183163101 |
Mailing Telephone | 6514313676 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2011-08-22 |
Authorized Official Name | MR. ROD L. KORNRUMPF (ADULT MENTAL HEALTH ADMINISTRATOR) |
Authorized Official Telephone | 6514315003 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 644633000 | 05 |
Other Name | Type Code |
---|---|
CBHH-BAXTER | Doing Business As Name - Organization |
Street Address |
14241 GRAND OAKS DRIVE |
City | BAXTER |
State | MN |
Zip Code | 56425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134329808 | Theresa Marie Steele | Clinical Nurse Specialist | 14241 Grand Oaks Drive, Baxter Community Behavioral Health Hospital, Baxter, MN 56425 | 2007-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
Find all providers in zip 56425 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
1285760363 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-02-26 |
1013042589 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 11630 State Ave, Brainerd, MN 56401-7306 | 2007-02-23 |
1346304805 | Comminty Behavioral Health Hospital-cold Spring | Psychiatric Hospital | 224 Krays Mill Road, Cold Spring, MN 56320 | 2006-12-20 |
1962583039 | Community Behavioral Health Hospital-fergus Falls | Psychiatric Hospital | 1801 West Alcott, Fergus Falls, MN 56537 | 2006-10-17 |
1336237957 | Minneapolis Veterans Administration Hospital | Psychiatric Hospital | 1 Veterans Dr # 116a, Minneapolis, MN 55417-2309 | 2006-10-10 |
1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
1386676799 | Community Behavioral Health Hospital-alexandria | Psychiatric Hospital | 1610 8th Aveune East, Alexandria, MN 56308 | 2006-07-07 |
1609814821 | Fergus Falls Regional Treatment Center | Psychiatric Hospital | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-06-02 |
1093752594 | Brainerd State Hospital | Psychiatric Hospital | 11800 State Highway 18, Brainerd, MN 56401-6250 | 2006-06-01 |
Find all providers with the same taxonomy |
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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.