RUM RIVER HEALTH SERVICES, INC. (NPI# 1952643843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952643843 |
| 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 | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | JEFFREY DONALD LARSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7633895080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| 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 |
| 1649536707 | Rum River Health Services, Inc. | Case Management | 101 18th Ave N, Princeton, MN 55371-4756 | 2012-04-03 |
| 1629131461 | Rum River Health Services, Inc. | Clinic/Center | 1506 1st St, Princeton, MN 55371-1462 | 2006-12-19 |
| 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 |
| 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 |
| 1811206931 | Thomas Patrick Rogan | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2010-10-07 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1184903049 | Suzanne Doubrava, Md | Clinic/Center | 20 Nassau St, Suite #504, Princeton, NJ 08542-4509 | 2011-08-10 |
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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.