RIVERVIEW HEALTHCARE (NPI# 1518136696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136696 |
| Entity Type | Organization |
| Organization Name | RIVERVIEW HEALTHCARE |
| Other Organization Name | GLENMORE RECOVERY CENTER |
| Practice Address |
206 8th Ave Se Suite 200 Baudette MN 56623-2867 |
| Mailing Address |
323 S Minnesota St Crookston MN 56716-1601 |
| Practice Telephone | 2186344574 |
| Mailing Telephone | 8007436551 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | MR. WILLIAM BENNETT (CFO) |
| Authorized Official Telephone | 8007436551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCMN | 1595PRI | 01 |
| MN | UBH | 5049980 | 01 |
| ND | BCBS ND | 885 | 01 |
| Other Name | Type Code |
|---|---|
| GLENMORE RECOVERY CENTER | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVERVIEW HEALTHCARE CENTER | 611 E 2nd Ave, Flandreau, SD 57028-1301 |
| System for Award Management (SAM) Entities | RIVERVIEW HEALTHCARE COMMUNITY | 611 E 2nd Ave, Flandreau, SD 57028-1301 |
| New York State Corporations | RIVERVIEW HEALTHCARE PLAZA LLC | 1650 49th Street, Brooklyn, Ny 11204 |
| Street Address |
206 8TH AVE SE SUITE 200 |
| City | BAUDETTE |
| State | MN |
| Zip Code | 56623-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356585897 | Lake of The Woods County Social Services | Public Health or Welfare | 206 8th Ave Se, Suite 200, Baudette, MN 56623-2867 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380680 | Lake of The Woods County Social Services | Public Health or Welfare | 206 8th Ave. Se, Suite 200, Baudette, MN 56623 | 2007-02-07 |
| 1225183981 | Cja Consulting, Inc. | Psychologist | 106 8th Ave Se, Suite 200, Baudette, MN 56623 | 2007-01-24 |
| 1164504049 | Independent School District No 390 | Local Education Agency (LEA) | 236 15th Ave Sw, Baudette, MN 56623 | 2006-10-19 |
| 1811993421 | Constance Anderson Aagard | Psychologist | 106 8th Ave. Se, Baudette, MN 56623 | 2005-06-28 |
| 1730184797 | David Clark Wohlrabe | Dentist | 406 Main St. Nw, Baudette, MN 56623-0546 | 2005-06-16 |
| 1568591097 | Davy L Nesmoe | Chiropractor | 204 Main Ave North, Baudette, MN 56623-1039 | 2007-03-02 |
| 1447255385 | Smn Inc | Pharmacy | 111 N Main Ave, Baudette, MN 56623-2466 | 2005-06-16 |
| 1639782311 | Brennin Kyle O'brien | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2020-08-24 |
| 1477053577 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 111 N Main Ave, Baudette, MN 56623-2466 | 2018-02-15 |
| 1598947533 | Stuart Michael Noble | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2007-12-01 |
| Find all providers in zip 56623 | ||||
| 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 |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| 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.