NPIMap

Organization Active NPI

Obaashing Women's Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ponemah, MN
National Provider Identifier
1295486447
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
OBAASHING WOMEN'S TREATMENT CENTER
Practice address
27190 North Shore Rd
Ponemah, MN 56666-0069
Phone
(218) 679-1160
NPI assigned
Jan 10, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Charlene Andersen
Title
Revenue Generation Director
Phone
(218) 679-1320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

27190 North Shore Rd
Ponemah, MN 56666-0069

Mailing address

PO Box 566
Redlake, MN 56671-0566
Phone (218) 679-1320

National Provider Directory

National Provider Directory
Tax ID family
Red Lake Nation Youth Safe Harbor Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 1

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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1295486447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "REDLAKE",
            "state": "MN",
            "postal_code": "566710566",
            "telephone_number": "218-679-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27190 NORTH SHORE RD",
            "city": "PONEMAH",
            "state": "MN",
            "postal_code": "566660069",
            "telephone_number": "218-679-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBAASHING WOMEN'S TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "REVENUE GENERATION DIRECTOR",
        "authorized_official_telephone_number": "218-679-1320"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponemah, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.