NPIMap

Organization Active NPI

Lutheran Social Service of Minnesota

  • Children's Substance Abuse Rehabilitation Facility
  • Crookston, MN
National Provider Identifier
1376733659
Registry record updated Aug 1, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Practice address
820 Eickhof Blvd
Kairos House
Crookston, MN 56716-2600
Phone
(218) 281-1524
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Brigid Peterson
Title
Controller
Phone
(800) 582-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

820 Eickhof Blvd
Kairos House
Crookston, MN 56716-2600

Mailing address

2485 Como Ave
Saint Paul, MN 55108-1445
Phone (800) 582-5260

National Provider Directory

National Provider Directory
Tax ID family
Compass North18 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1376733659",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EICKHOF BLVD",
            "address_2": "KAIROS HOUSE",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567162600",
            "telephone_number": "218-281-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICE OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "800-582-5260"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crookston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.