WILD RIVER SERVICES INC


Address: 1394 Jackson St Ste 220, Saint Paul, MN 55117-4631
Phone: 6515589522

WILD RIVER SERVICES INC (NPI# 1962013847) 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) 1962013847
Entity Type Organization
Organization Name WILD RIVER SERVICES INC
Practice Address 1394 Jackson St Ste 220
Saint Paul
MN 55117-4631
Practice Telephone 6515589522
Mailing Telephone 6515589522
Enumeration Date 2020-08-13
Last Update Date 2020-08-13
Authorized Official Name COLIN KELLY FAULKNER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6515589522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Haven Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467961193 Wild River Services Inc Substance Abuse Rehabilitation Facility 1394 Jackson St, Saint Paul, MN 55117 2017-09-26

Office Location

Street Address 1394 JACKSON ST STE 220
City SAINT PAUL
State MN
Zip Code 55117-4631

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306309992 Katrina Gregor Social Worker Po Box 17370 Lot 537, St. Paul, MN 55117 2019-04-10
1083160352 Miracle Home Health Care, Inc. Home Health 55 Lyton Place, Saint Paul, MN 55117 2016-08-28
1871958827 Roxanne Marie Cruciani Physical Therapy Assistant 41 East County Road C, #211, Little Canada, MN 55117 2015-12-17
1386064111 Laura Giegler Family Medicine 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 2014-04-19
1235564352 Jennifer Ann Bertolatus Counselor 1585 Rice Street, St. Paul, MN 55117 2013-09-09
1851670400 Healthy Community Services Agency, Inc Home Health 1096 Rice St., St. Paul, MN 55117 2011-08-15
1609184639 Ondrea Perlman Advanced Practice Midwife 91 Viking Drive West, Little Canada, MN 55117 2010-09-24
1710126107 Have A Heart Home Health Group, LLC Home Health 1973 Sloan Place, Suite 70, Maplewood, MN 55117 2009-02-09
1508052424 Integratiavecare Vadnais Heights LLC Pharmacy 5 East County Road B, Suite #2, Little Canada, MN 55117 2007-09-25
1174728257 Step Therapies, Inc. Specialist 75 W Viking Drive, Suite 101, Little Canada, MN 55117 2007-06-18
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649894957 Minnesota Lotus LLC Clinic/Center 1983 Sloan Pl Ste 13-14, Saint Paul, MN 55117-2087 2020-06-02
1497397491 Forever Friendship Adult Day Center Clinic/Center 734 Snelling Ave N, Saint Paul, MN 55104-2384 2019-10-10
1750896189 Joyful Senior Center LLC Clinic/Center 1239 Payne Ave Ste 204, Saint Paul, MN 55130-3667 2017-12-07
1326573080 Hmong Adult Day Care Center Inc Clinic/Center 1459 Rice St, Ste 1, Saint Paul, MN 55117-3864 2017-05-01
1043768849 Unique Adult Day Care Center, LLP Clinic/Center 911 Rice St, Saint Paul, MN 55117-5424 2016-09-21
1700204450 Gvp Senior Care Center, Inc. Clinic/Center 1600 White Bear Ave N, Saint Paul, MN 55106-1608 2014-03-31
1710263710 University Adult Day Care Center Inc Clinic/Center 2434 University Ave W, Saint Paul, MN 55114 2011-10-23
1669609947 East African Social Center Clinic/Center 1821 University Ave W Ste 196, Saint Paul, MN 55104-2870 2009-06-15
1346439635 Hmong American Partnership Clinic/Center 1075 Arcade St, Saint Paul, MN 55106-3213 2007-10-23
1538359211 Minnesota Transportation Services LLC Clinic/Center 1001 Johnson Parkway, Suite #127, Saint Paul, MN 55106 2007-07-27
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Competitor

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City SAINT PAUL
Zip Code 55117

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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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