NPIMap

Organization Active NPI

Thrive Behavioral Network IV, LLC

Doing business as New Visions Center

  • Substance Abuse Rehabilitation Facility
  • Alexandria, MN
National Provider Identifier
1245318377
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1036409 Issued in MN
Legal business name
THRIVE BEHAVIORAL NETWORK IV, LLC
Doing business as
New Visions Center
Practice address
222 9TH Ave West
Alexandria, MN 56308-2204
Phone
(320) 763-3912
Fax
(320) 763-6629
NPI assigned
Nov 2, 2006
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Jeff Bradley
Title
President
Phone
(320) 763-3912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1036409 MN Primary

Addresses

Primary practice location

222 9TH Ave West
Alexandria, MN 56308-2204

Mailing address

107 Doctors Park
St Cloud, MN 56303-1207
Phone (320) 255-9530

Other identifiers 1

IdentifierTypeStateIssuer
674407901MedicaidMN

Other names 1

  • New Visions Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Visions Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

222 9th Ave W
Alexandria, MN 56308
Phone (320) 763-3912

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1245318377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DOCTORS PARK",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-255-9530",
            "fax_number": "320-251-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 9TH AVE WEST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082204",
            "telephone_number": "320-763-3912",
            "fax_number": "320-763-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL NETWORK IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-763-3912"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1036409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674407901",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Visions Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.