RAMSEY COUNTY DETOXIFICATION CENTER (NPI# 1922149855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922149855 |
| Entity Type | Organization |
| Organization Name | RAMSEY COUNTY DETOXIFICATION CENTER |
| Practice Address |
160 Kellogg Blvd E Suite 2300 Saint Paul MN 55101-1420 |
| Practice Telephone | 6512664009 |
| Mailing Telephone | 6512664009 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID DERUSHA (ADULT SERVICES MANAGER) |
| Authorized Official Telephone | 6512664172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
160 KELLOGG BLVD E SUITE 2300 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073628996 | Jennifer Lynn Dynes | Psychologist | 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 | 2006-08-20 |
| 1689708703 | Karen Matts | Social Worker | 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 | 2007-03-14 |
| 1366570335 | Stacy Christine Gregorich | Social Worker | 160 Kellogg Blvd E, 7000, Saint Paul, MN 55101-1420 | 2007-03-01 |
| 1346375706 | Linda G Hall | Social Worker | 160 Kellogg Blvd E, Suite 7000, Saint Paul, MN 55101-1420 | 2007-02-23 |
| 1306984018 | Kirk Fowler | Social Worker | 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 | 2007-02-02 |
| 1154478741 | John Gerard Sullivan | Social Worker | 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 | 2007-01-04 |
| 1902953953 | Patricia Jean Feala | Social Worker | 160 Kellogg Blvd E, Room 8200, Saint Paul, MN 55101-1420 | 2007-01-04 |
| 1477617991 | Brian Anthony Theine | Social Worker | 160 Kellogg Blvd E, Ms 8200, Saint Paul, MN 55101-1420 | 2006-12-20 |
| 1811055957 | Ramsey County Community Human Services | Public Health or Welfare | 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 | 2006-12-04 |
| 1316010051 | Cheryl Lynn Hanson | Psychologist | 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1376076604 | North Point Health &wellness Center | Substance Abuse Rehabilitation Facility | 950 Sherburne Ave, Saint Paul, MN 55104-2606 | 2017-04-04 |
| 1871931535 | Volunteers of America | Substance Abuse Rehabilitation Facility | 1394 Jackson St, Saint Paul, MN 55117-4629 | 2013-06-04 |
| 1780850446 | Volunteers of America of Minnesota | Substance Abuse Rehabilitation Facility | 5100 Hodgson Rd, Saint Paul, MN 55126-1229 | 2008-05-02 |
| 1649440355 | Juel Fairbanks Chemical Dependency Services | Substance Abuse Rehabilitation Facility | 806 Albert St N, Saint Paul, MN 55104-1303 | 2008-03-10 |
| 1588878599 | Tapestry, LLC | Substance Abuse Rehabilitation Facility | 1609 Jackson St, Saint Paul, MN 55117-3917 | 2007-05-09 |
| 1689708083 | Twin Town Treatment Center | Substance Abuse Rehabilitation Facility | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2007-03-15 |
| 1154455533 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 1885 University Avenue West, Suite 151, Saint Paul, MN 55104 | 2007-03-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
Please comment or provide details below to improve the information on RAMSEY COUNTY DETOXIFICATION CENTER.
| 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.