NPIMap

Organization Active NPI

Dakota County Jail Treatment Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West St Paul, MN
National Provider Identifier
1053576751
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1049367 Issued in MN
Legal business name
DAKOTA COUNTY JAIL TREATMENT PROGRAM
Practice address
1 Mendota Rd W
West St Paul, MN 55118-4764
Phone
(651) 554-6000
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Ms. Tina Isaac
Title
Program Director
Phone
(651) 554-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1049367 MN Primary

Addresses

Primary practice location

1 Mendota Rd W
West St Paul, MN 55118-4764

Mailing address

1580 Highway 55
Hastings, MN 55033-2343
Phone (651) 438-4818

Other names 1

  • Dakota County Other name

National Provider Directory

National Provider Directory
Tax ID family
Dakota County Jail Treatment Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Mendota Rd W
West St Paul, MN 55118
Phone (651) 438-4508

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1053576751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 HIGHWAY 55",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332343",
            "telephone_number": "651-438-4818",
            "fax_number": "651-438-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MENDOTA RD W",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184764",
            "telephone_number": "651-554-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA COUNTY JAIL TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "651-554-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1049367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.