DAB OF PELICAN RAPIDS (NPI# 1366516403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366516403 |
| Entity Type | Organization |
| Organization Name | DAB OF PELICAN RAPIDS |
| Other Organization Name | RED RIVER RECOVERY CENTER |
| Practice Address |
701 Center Ave E Dilworth MN 56529-1410 |
| Practice Telephone | 2182847772 |
| Practice Fax Number | 2182847774 |
| Mailing Telephone | 2182847772 |
| Mailing Fax Number | 2182847774 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DEBORAH A BORSTAD (OWNER DIRECTOR) |
| Authorized Official Telephone | 2182847772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Red River Recovery Center | Doing Business As Name - Organization |
| Street Address |
701 CENTER AVE E |
| City | DILWORTH |
| State | MN |
| Zip Code | 56529-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275045718 | Prosper Incorporated | Clinic/Center | 701 Center Ave E, Dilworth, MN 56529-1410 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780187 | Linda Jo Spitzer | Optometrist | 1675 Center Ave W, Sinkler Optical Suite C, Dilworth, MN 56529 | 2007-01-29 |
| 1033279724 | Isd 2164 | Local Education Agency (LEA) | 108 Main Street North, Dilworth, MN 56529 | 2006-12-11 |
| 1609977354 | Darin L Edeen | Dentist | 802 Center Ave West, Dilworth, MN 56529 | 2006-09-26 |
| 1295871002 | Sinkler Optical Fm Inc | Eyewear Supplier (Equipment, not the service) | 1675 Center Ave W, Dilworth, MN 56529 | 2007-01-29 |
| 1164505251 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 415 34th St N, Dilworth, MN 56529 | 2006-10-23 |
| 1407221278 | Sharlene Stoering | Contractor | 102 8th St Nw, Dilworth, MN 56529-1003 | 2015-12-04 |
| 1386000933 | Janae Moe | Physical Therapy Assistant | 606 5th St Ne, Dilworth, MN 56529-1125 | 2016-01-12 |
| 1053667493 | Neff Dialysis LLC | Clinic/Center | 1710 Center Ave W, Dilworth, MN 56529-1309 | 2012-08-02 |
| 1043512031 | Grand St. Paul Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2010-11-23 |
| 1801417928 | Molly Askegaard | Pharmacist | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2020-04-29 |
| Find all providers in zip 56529 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275045718 | Prosper Incorporated | Clinic/Center | 701 Center Ave E, Dilworth, MN 56529-1410 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609664 | Summit Orthopedics, Ltd | Clinic/Center | 2620 Eagan Woods Drive Ste 200, Eagan, MN 55121-1466 | 2016-06-08 |
| 1790108140 | Summit Orthopedics, Ltd | Clinic/Center | 3580 Arcade St Ste 250, Vadnais Heights, MN 55127-7135 | 2014-01-21 |
Please comment or provide details below to improve the information on DAB OF PELICAN RAPIDS.
| 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.