ANOKA METRO REGIONAL TREATMENT CENTER (NPI# 1619118908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619118908 |
| Entity Type | Organization |
| Organization Name | ANOKA METRO REGIONAL TREATMENT CENTER |
| Practice Address |
3301 7th Ave Anoka MN 55303-4516 |
| Mailing Address |
5217 45th Ave S Minneapolis MN 55417-2334 |
| Practice Telephone | 6514315174 |
| Mailing Telephone | 6086986062 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | MR. ALAN RADKE (SOS MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6514315002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | MN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124032818 | Anoka Metro Regional Treatment Center | Psychiatric Residential Treatment Facility | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-07-28 |
| 1275585564 | Anoka Metro Regional Treatment Center | Psychiatric Hospital | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-05-16 |
| Street Address |
3301 7TH AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368001 | Matthew Splett | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2005-06-30 |
| 1619587078 | Mary Accomando | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2020-07-31 |
| 1619512621 | Chinedu Uzoma Odurukwe | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-11-13 |
| 1003461864 | Haron Nyakundi Manwa | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-08-07 |
| 1750819223 | Shelly Lynn Lettmann | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2017-05-30 |
| 1801320817 | Andrew Zwack | Pharmacist | 3301 7th Ave, Pharmacy, Anoka, MN 55303-4516 | 2017-04-17 |
| 1801240205 | Ernestine Mambo | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2016-04-21 |
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1932575305 | Peg Fitzgerald Hintz | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-08-19 |
| 1942688957 | Benjamin Gerndt Otopalik | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
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| 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 |
|---|---|---|---|---|
| 1275585564 | Anoka Metro Regional Treatment Center | Psychiatric Hospital | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-05-16 |
| 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 |
| 1487715033 | Community Behavioral Health Hospital-baxter | Psychiatric Hospital | 14241 Grand Oaks Drive, Baxter, MN 56425 | 2006-12-13 |
| 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 |
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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.