NPIMap

Organization Active NPI

Rainy River Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • International Falls, MN
National Provider Identifier
1033403753
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1059889 Issued in MN
Legal business name
RAINY RIVER RECOVERY
Practice address
900 5TH St
Suite 301
International Falls, MN 56649-2254
Phone
(218) 285-7029
Fax
(218) 285-7072
NPI assigned
May 31, 2011
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Dennis Christianson, LADCNPI 1093226508
Title
Director
Phone
(218) 285-7029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1059889 MN Primary

Addresses

Primary practice location

900 5TH St
Suite 301
International Falls, MN 56649-2254

Mailing address

900 5TH St
Suite 301
International Falls, MN 56649-2254
Phone (218) 285-7029

National Provider Directory

National Provider Directory

Locations

900 5th St
Ste 301
Intl Falls, MN 56649
Phone (218) 285-7029

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1033403753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 5TH ST",
            "address_2": "SUITE 301",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492254",
            "telephone_number": "218-285-7029",
            "fax_number": "218-285-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 5TH ST",
            "address_2": "SUITE 301",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492254",
            "telephone_number": "218-285-7029",
            "fax_number": "218-285-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINY RIVER RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-285-7029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1059889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in International Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.