Organization Active NPI

Range Center, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Chisholm, MN
National Provider Identifier
1093876955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
802034-3-RS Issued in MN
Legal business name
RANGE CENTER, INC
Practice address
1001 8TH Ave NW
Chisholm, MN 55719-1148
Phone
(218) 254-3347
Fax
(218) 254-7343
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jim Zahorsky
Title
Cfo
Phone
(218) 254-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 802034-3-RS MN Primary

Addresses

Primary practice location

1001 8TH Ave NW
Chisholm, MN 55719-1148

Mailing address

1001 8TH Ave NW
P.O. Box 629
Chisholm, MN 55719-1148
Phone (218) 254-3347

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1106358Range Center Inc1001 NW 8TH Avenue, Chisholm, MN 55719Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aspenwood Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093876955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 8TH AVE NW",
            "address_2": "P.O. BOX 629",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191148",
            "telephone_number": "218-254-3347",
            "fax_number": "218-254-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 8TH AVE NW",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191148",
            "telephone_number": "218-254-3347",
            "fax_number": "218-254-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAHORSKY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-254-3347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "802034-3-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisholm, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.