NPIMap

Organization Active NPI

Upper Mississippi Mental Health Center, Inc.

Doing business as same

  • Community/Behavioral Health Agency
  • Park Rapids, MN
National Provider Identifier
1073789269
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1015165-1-CDT Issued in MN
Legal business name
UPPER MISSISSIPPI MENTAL HEALTH CENTER, INC.
Doing business as
same
Practice address
120 Main Ave N
Park Rapids, MN 56470-1810
Phone
(218) 732-7266
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Ms. Kristi J Miller
Title
Office Manager
Phone
(218) 751-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1015165-1-CDT MN Primary

Addresses

Primary practice location

120 Main Ave N
Park Rapids, MN 56470-1810

Mailing address

120 Main Ave N
Park Rapids, MN 56470-1810
Phone (218) 732-7266

Other identifiers 1

IdentifierTypeStateIssuer
064997000OtherMNCONSOLIDATED FUNDING

Other names 1

  • same Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper Mississippi Mental Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1073789269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN AVE N",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701810",
            "telephone_number": "218-732-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN AVE N",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701810",
            "telephone_number": "218-732-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MISSISSIPPI MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-751-3280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1015165-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED FUNDING",
            "identifier": "064997000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.