Rural Minnesota Behavioral Health Services, Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R116114-2 Issued in MN

Legal business name

RURAL MINNESOTA BEHAVIORAL HEALTH SERVICES, INC

Practice address

800 Bemidji Ave N
3Rd Floor
Bemidji, MN 56601-3054

Phone

(218) 333-0323

Fax

(218) 333-0335

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Tarutis

Title

Owner

Phone

(218) 209-5952

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1194804609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BEMIDJI AVE N",
            "address_2": "3RD FLOOR",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013054",
            "telephone_number": "218-333-0323",
            "fax_number": "218-333-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BEMIDJI AVE N",
            "address_2": "3RD FLOOR",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013054",
            "telephone_number": "218-333-0323",
            "fax_number": "218-333-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL MINNESOTA BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "TARUTIS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-209-5952"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R116114-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440066600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9524",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "233G5RU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Patrick Roy, M.D.
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• Tamie J Rue, COTA
• Tiffany Grace Rundquist
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• Tamara D Rustand, BS
• Ed Edil Rysal, DO
• James Frank Sabatinos, APN, BC
• Sahi Health Services L.L.C

• Nurse Practitioner in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.