RANGE MENTAL HEALTH CENTER INC


Address: 731 3rd St S, Virginia, MN 55792
Phone: 2187419630

RANGE MENTAL HEALTH CENTER INC (NPI# 1932368313) 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) 1932368313
Entity Type Organization
Organization Name RANGE MENTAL HEALTH CENTER INC
Other Organization Name MERRITT HOUSE
Practice Address 731 3rd St S
Virginia
MN 55792
Mailing Address Po Box 1188
624 S 13th St
Virginia
MN 55792
Practice Telephone 2187419630
Practice Fax Number 2187412640
Mailing Telephone 2187492881
Mailing Fax Number 2187493806
Enumeration Date 2008-06-02
Last Update Date 2016-04-01
Authorized Official Name MARY J CARPENTER (CEO)
Authorized Official Telephone 2187492881
Authorized Official Credential MSED, LP
Is Organization Subpart Y
Parent Organization Name RANGE MENTAL HEALTH CENTER INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Merritt House Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851419345 Range Mental Health Center Inc Substance Abuse Rehabilitation Facility 626 S 13th St, Virginia, MN 55792 2007-03-26
1639232663 Range Mental Health Center Inc Substance Abuse Rehabilitation Facility 3203 W 3rd Ave, Hibbing, MN 55746 2006-12-19
1346318193 Range Mental Health Center Inc Substance Abuse Rehabilitation Facility 626 S 13th St, Virginia, MN 55792 2006-12-01

Office Location

Street Address 731 3RD ST S
City VIRGINIA
State MN
Zip Code 55792

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
1871634071 Gary Frederick Miller Social Worker 624 S 13th Street, P O 1188, Virginia, MN 55792 2007-02-09
1154484699 Melvin Dale Newcomb Dentist 216 N 5th Ave, Virginia, MN 55792 2006-12-18
Find all providers in zip 55792

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730796384 Maisa Inc. Community Based Residential Treatment Facility, Mental Illness 1113 E Franklin Ave Ste 208c, Minneapolis, MN 55404-2977 2020-09-28
1043837560 Journey of Hope Community Housing LLC Community Based Residential Treatment Facility, Mental Illness 761 Case Ave, Saint Paul, MN 55106-3705 2020-06-30
1366005696 Armando Cavazos Community Based Residential Treatment Facility, Mental Illness 84 Wabasha St S Apt 330, Saint Paul, MN 55107-1856 2019-04-22
1205300969 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 4835-4901 West Boradway Avenue, Crystal, MN 55429 2019-01-16
1871064840 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 300 8th Ave Ne, Minneapolis, MN 55413-2030 2018-12-17
1144791112 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 5546 7th St Ne, Fridley, MN 55432-5556 2018-12-17
1053882027 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 7701 Able St Ne, Spring Lake Park, MN 55432-2809 2018-12-17
1699246678 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 1140 80th Ave Ne, Spring Lake Park, MN 55432-2039 2018-12-17
1962973933 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 6134 Woody Ln Ne, Fridley, MN 55432-5844 2018-12-17
1780155754 Rescare Minnesota, Inc. Community Based Residential Treatment Facility, Mental Illness 500 Ironton St Ne, Fridley, MN 55432-1633 2018-12-17
Find all providers with the same taxonomy

Competitor

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City VIRGINIA
Zip Code 55792

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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.

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