Minnesota Specialty Health System Cambridge

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

804294-9-RS-N Issued in MN

Legal business name

MINNESOTA SPECIALTY HEALTH SYSTEM CAMBRIDGE

Practice address

1425 E Rum River Dr S
Cambridge, MN 55008-2569

Phone

(651) 431-3691

Fax

(651) 431-7505

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Zook

Title

Controller

Phone

(651) 431-3691

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Carla L Heino, DDS

  • Dentist
  • Rapid City, SD
  • NPI 1871648667
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1073892774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "651-431-3691",
            "fax_number": "651-431-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E RUM RIVER DR S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550082569",
            "telephone_number": "651-431-3691",
            "fax_number": "651-431-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SPECIALTY HEALTH SYSTEM CAMBRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "651-431-3691"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "804294-9-RS-N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A. Michael
• Mill Ridge Commons
• Shawna S Milz, PA-C
• Minnesota Extended Treatment Options (Meto)
• Minnesota Sedation Dental
• Misneach Mental Health LLC
• Julie Mitchell
• Stacie Mix
• Benjamin Lee Moore, DDS
• Christina Lillian Moore, MT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.