RUM RIVER HEALTH SERVICES, INC (NPI# 1801059639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801059639 |
| Entity Type | Organization |
| Organization Name | RUM RIVER HEALTH SERVICES, INC |
| Practice Address |
1506 1st Street Princeton MN 55371 |
| Mailing Address |
101 18th Avenue North Princeton MN 55371 |
| Practice Telephone | 7633895080 |
| Practice Fax Number | 7633895453 |
| Mailing Telephone | 7633895080 |
| Mailing Fax Number | 7636319117 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | MR. GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 3202555665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 1054729 | MN | Residential Treatment Facilities |
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 1001862 4 CDT | MN | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326342403 | Rum River Health Services, Inc | Non-emergency Medical Transport (VAN) | 101 18th Ave N, Princeton, MN 55371-4756 | 2011-01-04 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1134468556 | Rum River Health Services, Inc | Clinic/Center | 101 18th Ave N, Princeton, MN 55371-4756 | 2013-02-05 |
| Street Address |
1506 1ST STREET |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| 1225194475 | Thomas L Nunnelee Inc | Eyewear Supplier (Equipment, not the service) | 900 Rum River Dr South, Suite 103, Princeton, MN 55371 | 2006-12-29 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518009588 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Rehabilitation, Substance Use Disorder Unit | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962961599 | Wecare LLC | Rehabilitation, Substance Use Disorder Unit | 2241 Roosevelt Rd Ste 14, Saint Cloud, MN 56301-4536 | 2019-03-13 |
| 1376013953 | Complete Assessments LLC | Rehabilitation, Substance Use Disorder Unit | 340 5th Ave Sw, Hutchinson, MN 55350 | 2018-11-27 |
| 1912338666 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 1428 2nd St N, Sauk Rapids, MN 56379-2533 | 2013-12-06 |
| 1811150618 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 1564 Cty Rd 134, St Cloud, MN 56303-0346 | 2008-07-02 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1295124535 | Buffalo Hospital | Rehabilitation, Substance Use Disorder Unit | 101 14th St Ne Ste A, Buffalo, MN 55313-2966 | 2015-01-09 |
| 1467615294 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2008-07-02 |
| 1013194729 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-01-24 |
| 1346437720 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 1324 5th St N, New Ulm, MN 56073-1514 | 2007-09-28 |
| 1285692145 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2006-05-02 |
| 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.