NPIMap

Organization Active NPI

Willmar Regional Treatment Center

  • Psychiatric Hospital
  • Willmar, MN
National Provider Identifier
1386622876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
WILLMAR REGIONAL TREATMENT CENTER
Practice address
1550 Highway 71 NE
Willmar, MN 56201-9504
Phone
(320) 231-5100
Fax
(320) 231-5329
NPI assigned
Jan 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rod L. Kornrumpf
Title
Regional Administrator
Phone
(320) 231-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X MN Primary

Addresses

Primary practice location

1550 Highway 71 NE
Willmar, MN 56201-9504

Mailing address

1550 Highway 71 NE
Willmar, MN 56201-9504
Phone (320) 231-5100

Other identifiers 1

IdentifierTypeStateIssuer
1F278WIOtherMNBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386622876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 71 NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019504",
            "telephone_number": "320-231-5100",
            "fax_number": "320-231-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 71 NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019504",
            "telephone_number": "320-231-5100",
            "fax_number": "320-231-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMAR REGIONAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORNRUMPF",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "320-231-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1F278WI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.