NPIMap

Organization Active NPI

Rum River Health Services, Inc.

  • Case Management Agency
  • Princeton, MN
National Provider Identifier
1649536707
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
101YA0400X Issued in MN
Legal business name
RUM RIVER HEALTH SERVICES, INC.
Practice address
101 18TH Ave N
Princeton, MN 55371-4756
Phone
(763) 389-5080
Fax
(763) 389-5453
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Jeffrey Larson, MA, LADC
Title
Executive Director
Phone
(763) 389-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 101YA0400X MN Primary

Addresses

Primary practice location

101 18TH Ave N
Princeton, MN 55371-4756

Mailing address

101 18TH Ave N
Princeton, MN 55371-4756

National Provider Directory

National Provider Directory
Tax ID family
Rum River Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1649536707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 18TH AVE N",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 18TH AVE N",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714756",
            "telephone_number": "763-389-5080",
            "fax_number": "763-389-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUM RIVER HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-389-5080",
        "authorized_official_credential": "MA, LADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.