RUM RIVER HEALTH SERVICES, INC. (NPI# 1629131461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629131461 |
| Entity Type | Organization |
| Organization Name | RUM RIVER HEALTH SERVICES, INC. |
| Practice Address |
1506 1st St Princeton MN 55371-1462 |
| Mailing Address |
101 18th Ave N Princeton MN 55371-4756 |
| Practice Telephone | 7633895080 |
| Practice Fax Number | 7633895453 |
| Mailing Telephone | 7633895080 |
| Mailing Fax Number | 7636319117 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | DR. PETER JENSEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7633895080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 979615100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528345493 | Rum River Health Services, Inc. | Counselor | 640 3rd Street Ne, Milaca, MN 56353 | 2011-11-07 |
| 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 |
| Street Address |
1506 1ST ST |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396815643 | Cheryl Minks | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2006-11-08 |
| 1952643843 | Rum River Health Services, Inc. | Clinic/Center | 1506 1st St, Princeton, MN 55371-1462 | 2013-03-19 |
| 1871834713 | Nicole Trettel | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2013-03-01 |
| 1831449933 | John Francis Gorman | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-09-16 |
| 1659629970 | Sean Cameron Mansfield | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-08-16 |
| 1760738314 | Jeanette Lamotte Decker | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-08-01 |
| 1851667547 | Rum River Health Services | Substance Abuse Rehabilitation Facility | 1506 1st St, Princeton, MN 55371-1462 | 2012-03-27 |
| 1962777409 | Lucas Burton Winskowski | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-03-16 |
| 1194090605 | Chelsea Jean Petras | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-03-16 |
| 1396022851 | Lori Joanne Engblom | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2011-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490541 | Willow Midwives Ltd | Clinic/Center | 11 E Veterans Memorial Hwy Ste 102, Kasson, MN 55944-1716 | 2020-02-28 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1770611949 | Women's Health Center of Duluth Pa | Clinic/Center | 32 E 1st St Ste 300, Duluth, MN 55802-3005 | 2007-03-01 |
| 1134313604 | The Center Clinic Inc | Clinic/Center | 104 1st St Nw, Po 67, Dodge Center, MN 55927-9195 | 2007-08-28 |
| 1780874065 | Northland Family Programs | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2007-08-01 |
| 1952417412 | Family Tree Inc | Clinic/Center | 1619 Dayton Ave, Ste 205, Saint Paul, MN 55104-6206 | 2006-08-21 |
Please comment or provide details below to improve the information on RUM RIVER HEALTH SERVICES, INC..
| 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.