IRON RANGE BEHAVIORAL SERVICES LLC


Address: 817 S 5th Ave, Virginia, MN 55792-2804
Phone: 2183418523

IRON RANGE BEHAVIORAL SERVICES LLC (NPI# 1851900484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851900484
Entity Type Organization
Organization Name IRON RANGE BEHAVIORAL SERVICES LLC
Practice Address 817 S 5th Ave
Virginia
MN 55792-2804
Mailing Address 4962 Anderson Rd
Hermantown
MN 55811-1757
Practice Telephone 2183418523
Mailing Telephone 2183418523
Enumeration Date 2020-07-29
Last Update Date 2020-07-29
Authorized Official Name MR. MARK F WICKER (PRESIDENT)
Authorized Official Telephone 2183418523
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 817 S 5TH AVE
City VIRGINIA
State MN
Zip Code 55792-2804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598252983 Teresa A Larrabee Social Worker 624 South 13th Street, Virginia, MN 55792 2018-04-20
1972874105 Caryn M. Walters Counselor 504 1st St. S., Virginia, MN 55792 2012-01-19
1144502923 Crystal Corrine Leal Student in an Organized Health Care Education/Training Program 624 S. 13th St., Virginia, MN 55792 2011-09-16
1417259110 Ellen C. Taube Pharmacist 306 Chestnut, Virginia, MN 55792 2010-12-01
1518295567 Virginia-gilbert Family Dental P.a Dentist 612-13th. St. So., Virginia, MN 55792 2009-12-03
1942442082 Arrowhead Economic Opportunity Agency In Home Supportive Care 702 South Third Avenue, Virginia, MN 55792 2009-04-06
1609037324 Stefan Leroy Kaiser Preventive Medicine 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 2008-06-25
1457512915 Duane Faccin Person Legal Medicine 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 2008-06-18
1932368313 Range Mental Health Center Inc Community Based Residential Treatment Facility, Mental Illness 731 3rd St S, Virginia, MN 55792 2008-06-02
1871634071 Gary Frederick Miller Social Worker 624 S 13th Street, P O 1188, Virginia, MN 55792 2007-02-09
Find all providers in zip 55792

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821697202 Kids Zone Autism Center Inc Clinic/Center 670 Marigold Ter Ne, Fridley, MN 55432-5641 2020-10-18
1568079374 Midway Counseling Services LLC Clinic/Center 1410 9th Ave S Apt 306, Saint Cloud, MN 56301-5787 2020-09-25
1801409099 Star Autism Center Clinic/Center 3333 W Division St Ste 116, Saint Cloud, MN 56301-4548 2020-08-26
1184240103 Adhd&u Clinic/Center 2196 Carter Ave, Saint Paul, MN 55108-1709 2020-06-25
1033744008 Star Health Services Clinic/Center 3055 Old High 8, Saint Anthony, MN 55418 2020-03-10
1659906071 Amoud Center Inc Clinic/Center 1925 Portland Ave, Minneapolis, MN 55404-2713 2020-03-05
1164055026 Moonlight Support Services LLC Clinic/Center 3110 Old Hwy 8, 206, Roseville, MN 55113-5511 2020-02-19
1285279554 Metro Therapy Center Inc Clinic/Center 2520 Pillsbury Ave S Apt 306, Minneapolis, MN 55404-4208 2019-11-11
1710536081 Blu Care Inc Clinic/Center 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 2019-09-09
1568017374 The Bridge Autism Clinic LLC Clinic/Center 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 2019-08-08
Find all providers with the same taxonomy

Competitor

Search similar providers

City VIRGINIA
Zip Code 55792

Improve Information

Please comment or provide details below to improve the information on IRON RANGE BEHAVIORAL SERVICES LLC.

Dataset Information

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.

Trending Searches