Organization Active NPI

Nehemiah Family Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dodge Center, MN
National Provider Identifier
1407150394
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1013043-5-CDT Issued in MN
Legal business name
NEHEMIAH FAMILY SERVICES
Practice address
104 1St St NW
Dodge Center, MN 55927-9195
Phone
(507) 374-9047
Fax
(507) 633-2977
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
William Bryan Edwards, LADCNPI 1346314762
Title
CD Program Director
Phone
(507) 374-9047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1013043-5-CDT MN Primary

Addresses

Primary practice location

104 1St St NW
Dodge Center, MN 55927-9195

Mailing address

PO Box 335
Dodge Center, MN 55927-0335
Phone (507) 374-9047

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1407150394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559270335",
            "telephone_number": "507-374-9047",
            "fax_number": "507-633-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 1ST ST NW",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559279195",
            "telephone_number": "507-374-9047",
            "fax_number": "507-633-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHEMIAH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "CD PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "507-374-9047",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1013043-5-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.