NORTHLAND RECOVERY PINEVIEW CENTER (NPI# 1588110530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588110530 |
| Entity Type | Organization |
| Organization Name | NORTHLAND RECOVERY PINEVIEW CENTER |
| Practice Address |
912 Main St Unit B Littlefork MN 56653-9379 |
| Mailing Address |
900 5th St Ste 305 International Falls MN 56649-2200 |
| Practice Telephone | 2182784607 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | WILLARD L. JOHNSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2182833406 |
| Authorized Official Credential | PH.D., L.P. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHLAND COUNSELING CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 301742 | MN | Residential Treatment Facilities |
| Street Address |
912 MAIN ST UNIT B |
| City | LITTLEFORK |
| State | MN |
| Zip Code | 56653-9379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152171 | Cynthia Lee Gudahl | Counselor | 912 Main St Unit B, Littlefork, MN 56653-9379 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215186 | Hannah Lydia Larson | Speech-Language Pathologist | 5531 County Rd 8, Littlefork, MN 56653 | 2017-03-02 |
| 1689665283 | Joseph D Meyer | Family Medicine | 912 Main St, Littlefork, MN 56653 | 2005-11-02 |
| 1255528659 | Ind School Dist 362 | Local Education Agency (LEA) | 700 Main St, Littlefork, MN 56653-9319 | 2007-09-29 |
| 1659353738 | Paul David Havens | Family Medicine | 912 Main Street, Littlefork, MN 56653-9357 | 2005-11-15 |
| 1912365529 | International Falls Memorial Hospital Association | Non-Pharmacy Dispensing Site | 912 Main St, Littlefork, MN 56653-9357 | 2016-02-10 |
| 1063870129 | Koochiching Health Services | Assisted Living Facility | 912 Main St, Littlefork, MN 56653-9357 | 2016-02-04 |
| 1609233980 | Koochiching Health Services | Skilled Nursing Facility | 912 Main St, Littlefork, MN 56653-9357 | 2016-01-18 |
| 1669812459 | Nicole Marie Busch | Nurse Practitioner | 912 Main St, Littlefork, MN 56653-9357 | 2013-06-26 |
| 1295879906 | Littlefork Municipal Hospital | Clinic/Center | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-16 |
| 1275674137 | Betty J Ewald | Physical Therapist | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| Find all providers in zip 56653 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639625759 | Northland Counseling Center, Inc | Substance Abuse Rehabilitation Facility | 912 Main St, Unit B, Littlefork, MN 56653-9378 | 2016-08-29 |
| 1326180100 | Littlefork Municipal Hospital | Substance Abuse Rehabilitation Facility | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| 1407998289 | Littlefork Municipal Hospital | Substance Abuse Rehabilitation Facility | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LITTLEFORK |
| Zip Code | 56653 |
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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.