NPIMap

Organization Active NPI

Rum River Health Services, Inc

  • Dental Clinic/Center
  • Princeton, MN
National Provider Identifier
1134468556
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUM RIVER HEALTH SERVICES, INC
Practice address
101 18TH Ave N
Princeton, MN 55371-4756
Phone
(763) 389-5080
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Jeffrey D Larson
Title
Executive Director
Phone
(763) 389-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

101 18TH Ave N
Princeton, MN 55371-4756

Mailing address

101 18TH Ave N
Princeton, MN 55371-4756

National Provider Directory

National Provider Directory
Tax ID family
Rum River Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1134468556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 18TH AVE N",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 18TH AVE N",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714756",
            "telephone_number": "763-389-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUM RIVER HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-389-5080"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.