NPIMap

Organization Active NPI

Specialized Treatment Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1063575306
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10351731CDT Issued in MN
Legal business name
SPECIALIZED TREATMENT SERVICES, INC.
Practice address
1121 Jackson St NE
Suite 105
Minneapolis, MN 55413-1672
Phone
(612) 236-1703
Fax
(612) 236-1701
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Glenn A McGregor
Title
Vice President
Phone
(612) 236-1703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10351731CDT MN Primary

Addresses

Primary practice location

1121 Jackson St NE
Suite 105
Minneapolis, MN 55413-1672

Mailing address

1121 Jackson St NE
Suite 105
Minneapolis, MN 55413-1672
Phone (612) 236-1703

Other identifiers 1

IdentifierTypeStateIssuer
744415000OtherMNMHCP OR MA

National Provider Directory

National Provider Directory
Tax ID family
Specialized Treatment Services Inc - Brooklyn Park8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1063575306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE",
            "address_2": "SUITE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131672",
            "telephone_number": "612-236-1703",
            "fax_number": "612-236-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE",
            "address_2": "SUITE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131672",
            "telephone_number": "612-236-1703",
            "fax_number": "612-236-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "612-236-1703"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "10351731CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP  OR  MA",
            "identifier": "744415000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.