Dab of Pelican Rapids

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

DAB OF PELICAN RAPIDS

Practice address

701 Center Ave E
Dilworth, MN 56529-1410

Phone

(218) 284-7772

Fax

(218) 284-7774

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Deborah A Borstad

Title

Owner Director

Phone

(218) 284-7772

Specialties & licenses 1

Addresses

Other names 1

• Red River Recovery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Gene Keeping, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Dilworth, MN
  • NPI 1700735859
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1366516403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CENTER AVE E",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291410",
            "telephone_number": "218-284-7772",
            "fax_number": "218-284-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CENTER AVE E",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291410",
            "telephone_number": "218-284-7772",
            "fax_number": "218-284-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAB OF PELICAN RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BORSTAD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "218-284-7772"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilee Nicole Briss
• Anne Butkowski, PHARMD
• Jared Cahill
• Corner Medical LLC
• Stephanie Brook Corwin, PHARMD
• Darin L. Edeen, DDS, PC
• Dean Dubay, RPH
• Darin L Edeen, D.D.S.
• Grand St. Paul CVS, L.L.C.
• Daniel Ralph Gulseth, RPH

• All providers in Dilworth, MN
• Recovery Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.