NPIMap

Organization Active NPI

Vinland National Center

  • Substance Abuse Rehabilitation Facility
  • Loretto, MN
National Provider Identifier
1144329632
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
8026015CDT Issued in MN
Legal business name
VINLAND NATIONAL CENTER
Practice address
3675 Ihduhapi Rd
Loretto, MN 55357-0308
Phone
(763) 479-3555
Fax
(763) 479-2605
NPI assigned
Sep 21, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Renee Olson
Title
Executive Administrator
Phone
(763) 479-4518

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10613151MHC MN
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X 802601-3-CDT MN
Substance Abuse Rehabilitation Facility 324500000X 1039413-1-CDT MN
Substance Abuse Rehabilitation Facility 324500000X 8026015CDT MN Primary
Substance Abuse Rehabilitation Facility 324500000X 10394132CDT MN

Addresses

Primary practice location

3675 Ihduhapi Rd
Loretto, MN 55357-0308

Mailing address

PO Box 308
Loretto, MN 55357-0308
Phone (763) 479-3555

Other practice location 1

675 Stinson Blvd Ste 200
Minneapolis, MN 55413-2762
Phone (763) 479-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130304000612 MN Part B Supplier - Clinic/Group Practice 1557516184 Receives reassigned benefits from 8 practitioners
Practice locations: Minneapolis, MN; Loretto, MN

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
24D2062859Vinland National Center3675 Ihduhapi Trail, Loretto, MN 55357Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

Locations

675 Stinson Blvd
Ste 200
Minneapolis, MN 55413
Phone (763) 479-3555

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1144329632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "LORETTO",
            "state": "MN",
            "postal_code": "553570308",
            "telephone_number": "763-479-3555",
            "fax_number": "763-479-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 IHDUHAPI RD",
            "city": "LORETTO",
            "state": "MN",
            "postal_code": "553570308",
            "telephone_number": "763-479-3555",
            "fax_number": "763-479-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Stinson Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554132762",
            "country_code": "US",
            "telephone_number": "763-479-3555",
            "fax_number": "612-781-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VINLAND NATIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "763-479-4518"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "10613151MHC",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "802601-3-CDT",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1039413-1-CDT",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "8026015CDT",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "10394132CDT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loretto, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.