METRO TREATMENT OF MINNESOTA LP (NPI# 1124234653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124234653 |
| Entity Type | Organization |
| Organization Name | METRO TREATMENT OF MINNESOTA LP |
| Other Organization Name | ST. CLOUD METRO TREATMENT CENTER |
| Practice Address |
524 25th Avenue St Cloud MN 56303-3255 |
| Mailing Address |
2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 |
| Practice Telephone | 3202021909 |
| Practice Fax Number | 3202021910 |
| Mailing Telephone | 4073517080 |
| Mailing Fax Number | 4073516930 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
| Authorized Official Telephone | 4073517080 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO TREATMENT OF MINNESOTA LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1035458-1-CDT | MN | Agencies |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
262696-1 | MN | Suppliers |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Cloud Metro Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215143441 | Metro Treatment of Minnesota Lp | Clinic/Center | 2311 Woodbridge St, Roseville, MN 55113-4710 | 2007-05-15 |
| 1497961759 | Metro Treatment of Minnesota Lp | Clinic/Center | 11939 West River Hills Dr, Burnsville, MN 55337-1354 | 2007-05-15 |
| 1518173038 | Metro Treatment of Minnesota Lp | Clinic/Center | 2360 North Broadway, Rochester, MN 55906-4065 | 2007-05-14 |
| Street Address |
524 25TH AVENUE |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942659669 | Bloomington Treatment Services, LLC | Clinic/Center | 4294 Dahlberg Dr, Golden Valley, MN 55422-4805 | 2016-06-03 |
| 1225464134 | Specialized Treatment Services, Inc. | Clinic/Center | 311 Spruce St, Saint Paul, MN 55101-2446 | 2013-09-24 |
| 1023362027 | Specialized Treatment Services, Inc. - Brooklyn Park | Clinic/Center | 7472 Lakeland Blvd, Brooklyn Park, MN 55428-0000 | 2012-10-30 |
| 1215143441 | Metro Treatment of Minnesota Lp | Clinic/Center | 2311 Woodbridge St, Roseville, MN 55113-4710 | 2007-05-15 |
| 1497961759 | Metro Treatment of Minnesota Lp | Clinic/Center | 11939 West River Hills Dr, Burnsville, MN 55337-1354 | 2007-05-15 |
| 1518173038 | Metro Treatment of Minnesota Lp | Clinic/Center | 2360 North Broadway, Rochester, MN 55906-4065 | 2007-05-14 |
| 1750435459 | Northern Lakes Clinic, Inc. | Clinic/Center | 301 America Ave Nw, Bemidji, MN 56601-3120 | 2007-01-22 |
| 1679858039 | Specialized Treatment Services, Inc. | Clinic/Center | 1132 Central Ave Ne, Minneapolis, MN 55413-1512 | 2011-10-18 |
| 1871872796 | Specialized Treatment Services Inc. | Clinic/Center | 1121 Jackson St Ne Ste 105, Minneapolis, MN 55413-1665 | 2011-08-09 |
| 1881972503 | Valhalla Place Brainerd LLC | Clinic/Center | 2215 S 6th St, Brainerd, MN 56401-5549 | 2011-07-29 |
| Find all providers with the same taxonomy | ||||
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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.