Active NPI
Lutheran Social Service of Minnesota
- Case Management Agency
- Detroit Lakes, MN
National Provider Identifier
1295928240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LUTHERAN SOCIAL SERVICE OF MINNESOTA
- Practice address
- 211 Holmes St W
Detroit Lakes, MN 56501-3023 - Phone
- (218) 847-0629
- Fax
- (218) 846-1285
- NPI assigned
- Aug 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brigid Peterson
- Title
- Chief Compliance Officer
- Phone
- (800) 582-5260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
211 Holmes St W
Detroit Lakes, MN 56501-3023
Mailing address
2485 Como Ave
Saint Paul, MN 55108-1445
Phone (800) 582-5260
National Provider Directory
National Provider Directory- Tax ID family
- Compass North
Other organizations with this tax ID 16
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-
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-
- Case Management Agency
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-
- Intellectual Disabilities Intermediate Care Facility
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-
- Children's Substance Abuse Rehabilitation Facility
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- NPI 1376733659
-
- Case Management Agency
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-
- Children's Substance Abuse Rehabilitation Facility
- Detroit Lakes, MN
- NPI 1588855878
-
- Community/Behavioral Health Agency
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-
- Community/Behavioral Health Agency
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- NPI 1629192430
Locations
211 Holmes St W
Detroit Lakes, MN 56501
Phone (218) 847-0629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1295928240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081445",
"telephone_number": "800-582-5260",
"fax_number": "651-969-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 HOLMES ST W",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013023",
"telephone_number": "218-847-0629",
"fax_number": "218-846-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICE OF MINNESOTA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "BRIGID",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "800-582-5260"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.