NPIMap

Organization Active NPI

Community Behavioral Health Hospital-Baxter

  • Psychiatric Hospital
  • Baxter, MN
National Provider Identifier
1487715033
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER
Practice address
14241 Grand Oaks Drive
Baxter, MN 56425
Phone
(218) 316-3101
Fax
(218) 829-9141
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Lynn Glancey
Title
Cfo
Phone
(651) 539-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

14241 Grand Oaks Drive
Baxter, MN 56425

Mailing address

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186

Other identifiers 1

IdentifierTypeStateIssuer
644633000MedicaidMN

Other names 2

  • CBHH Baxter Doing business as
  • CBHH-BAXTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070612000384 MN Part A Provider - Hospital 1456457662 Practice locations: Baxter, MN
O20241125000645 MN Part B Supplier - Hospital Department(S) 1456457662 Receives reassigned benefits from 17 practitioners
Practice locations: Baxter, MN

Hospital certification: CCN 244015

Legal name
COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER
Doing business as
CBHH BAXTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 27, 2010
Last certification
Oct 27, 2010
Beds
16
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
14241 Grand Oaks Dr
Baxter, MN 56425-8749
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Behavioral Health Hospital - BaxterCCN 244015
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

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

Locations

14241 Grand Oaks Dr
Baxter, MN 56425
Phone (218) 316-3101

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
State of Minnesota - Minnesota Management and Budget Organization, Saint Paul, MN Non-profit 5% Or Greater Direct Ownership Interest Jan 17, 2007 100%
Wade R Brost Individual Corporate OfficerInterim Executive Director May 22, 2013 100%
Operational/Managerial ControlInterim Executive Director May 22, 2013 100%
Lynn Marie Glancey Individual Corporate OfficerCfo Jul 1, 2025
W-2 Managing EmployeeCfo Jul 1, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1487715033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 GRAND OAKS DRIVE",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-316-3101",
            "fax_number": "218-829-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GLANCEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-539-7200"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "644633000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBHH Baxter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CBHH-BAXTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.