RUM RIVER HEALTH SERVICES, INC. (NPI# 1528345493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528345493 |
| Entity Type | Organization |
| Organization Name | RUM RIVER HEALTH SERVICES, INC. |
| Other Organization Name | RUM RIVER HEALTH SERVICES MILLE LACS COUNTY JAIL PROGRAM |
| Practice Address |
640 3rd Street Ne Milaca MN 56353 |
| Mailing Address |
101 18th Avenue North Princeton MN 55371-4756 |
| Practice Telephone | 7633895080 |
| Practice Fax Number | 7636319117 |
| Mailing Telephone | 7633895080 |
| Mailing Fax Number | 7633899117 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |
| Authorized Official Name | MR. JEFFREY LARSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7633895080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1060530-1-CDT | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Rum River Health Services Mille Lacs County Jail Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1952643843 | Rum River Health Services, Inc. | Clinic/Center | 1506 1st St, Princeton, MN 55371-1462 | 2013-03-19 |
| 1649536707 | Rum River Health Services, Inc. | Case Management | 101 18th Ave N, Princeton, MN 55371-4756 | 2012-04-03 |
| 1629131461 | Rum River Health Services, Inc. | Clinic/Center | 1506 1st St, Princeton, MN 55371-1462 | 2006-12-19 |
| Street Address |
640 3RD STREET NE |
| City | MILACA |
| State | MN |
| Zip Code | 56353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033467659 | Nancy Hansmeier | Occupational Therapist | 12101 120th Ave, Milaca, MN 56353 | 2012-08-29 |
| 1720340102 | Morgan Rae Lasalle | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353 | 2012-06-12 |
| 1811914351 | Kimberly Ann Molacek | Optometrist | 132 2nd Ave Sw, Milaca, MN 56353 | 2006-07-17 |
| 1124103569 | Country Meadows of Milaca, Inc. | Assisted Living Facility | 740 2nd St. Se, Milaca, MN 56353-0157 | 2006-10-26 |
| 1740816941 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-03-19 |
| 1497854392 | Kip A Smith | Chiropractor | 115 1st St W, # 3, Milaca, MN 56353-1101 | 2006-09-21 |
| 1215557228 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-04-20 |
| 1750472197 | Hobert Drugs Inc | Durable Medical Equipment & Medical Supplies | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-09-28 |
| 1811929896 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 115 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-07-07 |
| 1093088460 | Jayme Lynn Westling | Pharmacist | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2012-02-16 |
| Find all providers in zip 56353 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| 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.