NORTHWEST RECOVERY CENTER (NPI# 1609947985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609947985 |
| Entity Type | Organization |
| Organization Name | NORTHWEST RECOVERY CENTER |
| Practice Address |
115 6th St W Thief River Falls MN 56701-1511 |
| Practice Telephone | 2186816561 |
| Practice Fax Number | 2186810477 |
| Mailing Telephone | 2186816561 |
| Mailing Fax Number | 2186810477 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL DENNIS OLSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2186816561 |
| Authorized Official Credential | M.A., LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 5087964 | 01 |
| MN | PREFERRED ONE | 1030141 | 01 |
| MN | MN BLUE CROSS | 4271NO | 01 |
| MN | MN BLUE PLUS | 4271NO | 01 |
| MN | UCARE | 167478 | 01 |
| Street Address |
115 6TH ST W |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| 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 |
|---|---|---|---|---|
| 1174672810 | Riverview Healthcare Association | Substance Abuse Rehabilitation Facility | 213 Labree Ave N Ste 100, Thief River Falls, MN 56701-2022 | 2007-01-10 |
| 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 | THIEF RIVER FALLS |
| Zip Code | 56701 |
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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.