NPIMap

Organization Active NPI

Upper Mississippi Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Bemidji, MN
National Provider Identifier
1598931792
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1026450-1-CDT Issued in MN
Legal business name
UPPER MISSISSIPPI MENTAL HEALTH CENTER, INC
Doing business as
SAME
Practice address
626 Minnesota Ave NW
Bemidji, MN 56601-3037
Phone
(218) 751-3280
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Kristi J. Miller
Title
Office Manager
Phone
(218) 751-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1026450-1-CDT MN Primary

Addresses

Primary practice location

626 Minnesota Ave NW
Bemidji, MN 56601-3037

Mailing address

722 15TH St NW
P.O. Box 640
Bemidji, MN 56601-2528
Phone (218) 751-3280

Other identifiers 1

IdentifierTypeStateIssuer
387142800OtherMNCONSOLIDATED FUNDING

Other names 1

  • SAME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper Mississippi Mental Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

626 Minnesota Ave NW
Bemidji, MN 56601
Phone (218) 333-4189

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1598931792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 15TH ST NW",
            "address_2": "P.O. BOX 640",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012528",
            "telephone_number": "218-751-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MINNESOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013037",
            "telephone_number": "218-751-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MISSISSIPPI MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-751-3280"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1026450-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED FUNDING",
            "identifier": "387142800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.