NPIMap

Organization Active NPI

Range Regional Health Services

Doing business as Greenview Alzheimer's Residence

  • Alzheimer Center (Dementia Center)
  • Hibbing, MN
National Provider Identifier
1477512713
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
329456 Issued in MN
Legal business name
RANGE REGIONAL HEALTH SERVICES
Doing business as
Greenview Alzheimer's Residence
Practice address
3520 7TH Ave E
Hibbing, MN 55746-3553
Phone
(218) 262-5139
Fax
(218) 263-4050
NPI assigned
Mar 23, 2006
Organization subpart
Yes
Parent organization
RANGE REGIONAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mr. John Kritz
Title
Sr Vice President/Cfo
Phone
(218) 362-6657

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 329456 MN Primary
Alzheimer Center (Dementia Center) 311500000X 329455 MN
Alzheimer Center (Dementia Center) 311500000X 329458 MN
Alzheimer Center (Dementia Center) 311500000X 329550 MN

Addresses

Primary practice location

3520 7TH Ave E
Hibbing, MN 55746-3553

Mailing address

3520 7TH Ave E
Hibbing, MN 55746-3553
Phone (218) 262-5139

Other identifiers 3

IdentifierTypeStateIssuer
008718100MedicaidMN
4980623OtherMNMEDICA
AL0210OtherMNUCARE

Other names 1

  • Greenview Alzheimer's Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Range Regional Health S7 organizations share this tax ID, including this one
Part of
Range Regional Health S

Other organizations with this tax ID 6

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

Locations

3520 7th Ave E
Hibbing, MN 55746
Phone (218) 262-5139

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1477512713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 7TH AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463553",
            "telephone_number": "218-262-5139",
            "fax_number": "218-263-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 7TH AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463553",
            "telephone_number": "218-262-5139",
            "fax_number": "218-263-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGE REGIONAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANGE REGIONAL HEALTH SERVICES",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "KRITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SR VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "218-362-6657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "329456",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "329455",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "329458",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "329550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008718100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4980623",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "AL0210",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenview Alzheimer's Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hibbing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.