REWIND, INC (NPI# 1801209697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801209697 |
Entity Type | Organization |
Organization Name | REWIND, INC |
Practice Address |
840 E Main St Perham MN 56573-1934 |
Practice Telephone | 2183466100 |
Practice Fax Number | 2183466112 |
Mailing Telephone | 2183466100 |
Mailing Fax Number | 2183466112 |
Enumeration Date | 2014-06-09 |
Last Update Date | 2014-06-09 |
Authorized Official Name | KURT DAVID HOLM (COUNSELOR) |
Authorized Official Telephone | 2183466100 |
Authorized Official Credential | LADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 10348381CDT | MN | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | LADC LICENSE | 302032 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | REWIND, INC. | 18 Fox Lane, Painted Post, Ny 14870 |
Street Address |
840 E MAIN ST |
City | PERHAM |
State | MN |
Zip Code | 56573-1934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134655913 | Elizabeth Nelson | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2017-05-11 |
1679960793 | John J Zajac | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2015-04-16 |
1396158358 | Kurt David Holm | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2014-06-08 |
1861805822 | Jenny Lou Snook | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2014-06-07 |
1992059984 | Carmen Ann Parks | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2012-10-30 |
1821354010 | James Albert Gray | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2012-04-02 |
1568678639 | Rewind, Inc. | Substance Abuse Rehabilitation Facility | 840 E Main St, Perham, MN 56573-1934 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
Find all providers in zip 56573 |
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 |
---|---|---|---|---|
1568678639 | Rewind, Inc. | Substance Abuse Rehabilitation Facility | 840 E Main St, Perham, MN 56573-1934 | 2007-05-15 |
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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 |
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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.