Region 4 South Adult Mental Health Consortium

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REGION 4 SOUTH ADULT MENTAL HEALTH CONSORTIUM

Practice address

32 Central Ave S
Suite 7
Elbow Lake, MN 56531-4100

Phone

(218) 685-8229

Fax

(218) 685-6414

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Joyce Murlaine Pesch

Title

Administrator

Phone

(218) 685-8229

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1548597917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CENTRAL AVE S",
            "address_2": "SUITE 7",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "565314100",
            "telephone_number": "218-685-8229",
            "fax_number": "218-685-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CENTRAL AVE S",
            "address_2": "SUITE 7",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "565314100",
            "telephone_number": "218-685-8229",
            "fax_number": "218-685-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION 4 SOUTH ADULT MENTAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "PESCH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MURLAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-685-8229"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasey Lauren Olsen, P.T.
• Kristy Peyerl, RPH
• Larry Lloyd Rapp, D.O.
• Brianna Rasmusson, PT
• Heather Jane Reeve, PA-C
• Katrina Rebecca Rogahn, PA-C
• Sarah Marie Schmall, RN
• Thane Steven Schmidt, P.T.
• Trumm Drug Inc
• Trumm Drug Inc

• Community/Behavioral Health Agency in Elbow Lake, MN
• Providers in Elbow Lake, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.