Drifens, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1046693-1-CDT Issued in MN

Legal business name

DRIFENS, LLC

Practice address

3716 Mayowood Rd SW
Rochester, MN 55902-4260

Phone

(507) 288-5900

Fax

(507) 288-3539

NPI assigned

Apr 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Derek Joel Mazula

Title

Ceo

Phone

(507) 288-5900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208563200000",
    "number": "1336313485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 MAYOWOOD RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024260",
            "telephone_number": "507-288-5900",
            "fax_number": "507-288-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 MAYOWOOD RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024260",
            "telephone_number": "507-288-5900",
            "fax_number": "507-288-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-19",
        "last_updated": "2008-04-19",
        "status": "A",
        "authorized_official_last_name": "MAZULA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-288-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1046693-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica M Drefahl, M.D.
• Mary Ellen R Dreher, APRN, CRNA
• Melissa Dreier, RN
• Chantel Paige Drentlaw
• Jillian Marissa Drewes, RN, PHN
• Maria Dripps
• Colin L Driscoll, M.D.
• David J Driscoll, M.D.
• Sherilyn W Driscoll, M.D.
• Katherine Driskell, MSW, LICSW

• Substance Abuse Rehabilitation Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2008; 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.