Active NPI
The Ranch - Teammates for Life
- Lodging Provider
- Sauk Centre, MN
National Provider Identifier
1306651146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- THE RANCH - TEAMMATES FOR LIFE
- Practice address
- 310 US 71 N
Sauk Centre, MN 56378-1144 - Phone
- (320) 429-8808
- NPI assigned
- Feb 10, 2025
- Last updated
- Feb 19, 2025
- 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
- Derick Gallagher
- Title
- Board Member
- Phone
- (612) 306-2830
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | NU | Primary | |
| Adult Mental Health Clinic/Center | 261QM0850X | NU |
Addresses
Primary practice location
310 US 71 N
Sauk Centre, MN 56378-1144
Mailing address
2026 Taylor St NE
Minneapolis, MN 55418-4649
Phone (612) 306-2830
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1306651146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 TAYLOR ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554184649",
"telephone_number": "612-306-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 US 71 N",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "563781144",
"telephone_number": "320-429-8808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE RANCH - TEAMMATES FOR LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "DERICK",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "612-306-2830"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sauk Centre, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.