ODYSSEY JUVENILE SERVICES (NPI# 1730393737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730393737 |
| Entity Type | Organization |
| Organization Name | ODYSSEY JUVENILE SERVICES |
| Practice Address |
1600 Cty Rd 55 Hastings MN 55003 |
| Mailing Address |
550 Main St New Brighton MN 55112-3271 |
| Practice Telephone | 6123267555 |
| Mailing Telephone | 6123267555 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VALERIE BUNDY (CONTROLLER) |
| Authorized Official Telephone | 6123267555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1023927 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1600 CTY RD 55 |
| City | HASTINGS |
| State | MN |
| Zip Code | 55003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619091659 | Odyssey Programs, LLC | Counselor | 1600 Highway 55, Hastings, MN 55003 | 2007-03-16 |
| 1861521544 | Scott Howard Edlin | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-03-05 |
| 1447430228 | Inspired Chiropractic | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-11-08 |
| 1487843819 | Clemmens Chiropractic, P.a. | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-10-22 |
| 1124094289 | William B Shea | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-02-27 |
| 1821650482 | Evgeny Bashirov | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2019-07-03 |
| 1376063818 | Jay Feuillerat | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2017-06-26 |
| 1134298839 | Deborah Diekmann | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-07 |
| 1225107998 | Bruce F Filson Dds Pa | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-07 |
| 1306915558 | Bruce F Filson | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-06 |
| Find all providers in zip 55003 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267110 | Jessica Elizabeth Nelson | Counselor | 1294 18th St E # 2, Hastings, MN 55033-3680 | 2020-05-27 |
| 1770028003 | Wendy R Hansen | Counselor | 218 S Rhode Island Ave, Hastings, NE 68901-6346 | 2016-12-22 |
| 1538603188 | Rodney Dell | Counselor | 835 S Burlington Ave Ste 115, Hastings, NE 68901-6928 | 2016-12-15 |
| 1245611813 | Pam Schmitt | Counselor | 11177 Panama Ave S, Hastings, MN 55033-9156 | 2015-06-09 |
| 1538549225 | Robert Melson | Counselor | 513 17th St E, Hastings, MN 55033-3108 | 2015-06-08 |
| 1760890743 | Cheryl Blankenship | Counselor | 1235 N Hewett Ave, Hastings, NE 68901-2931 | 2014-07-23 |
| 1750700027 | Amy Carrison | Counselor | 1926 Rose Way, Hastings, MN 55033-4068 | 2014-04-15 |
| 1346413838 | Martin Konantz Miller | Counselor | 225 N Saint Joseph Ave, Hastings, NE 68901-7555 | 2008-04-07 |
| 1043495476 | John C Folcik | Counselor | 615 E 5th St, Hastings, NE 68901-5336 | 2008-01-03 |
| 1861696122 | Judy Kay Melius | Counselor | 422 N Hastings Ave Ste 225, Hastings, NE 68901-5107 | 2007-06-12 |
| Find all providers in HASTINGS | ||||
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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.