Freeborn County Alcoholic Referral Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FREEBORN COUNTY ALCOHOLIC REFERRAL CENTER, INC

Doing business as

Freeborn County Chemical Dependency Center

Practice address

916 S Broadway Ave
Albert Lea, MN 56007-4511

Phone

(507) 377-5172

Fax

(507) 377-5249

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John W Adamec, LADC, NCAC II

Title

Director

Phone

(507) 377-5172

Specialties & licenses 1

Addresses

Other names 1

• Freeborn County Chemical Dependency Center Doing business as

Locations

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1699928903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 S BROADWAY AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074511",
            "telephone_number": "507-377-5172",
            "fax_number": "507-377-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S BROADWAY AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074511",
            "telephone_number": "507-377-5172",
            "fax_number": "507-377-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEBORN COUNTY ALCOHOLIC REFERRAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ADAMEC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-377-5172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC, NCAC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeborn County Chemical Dependency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Flaa
• Thomas Andrew Flamm, P.A.
• Albert David Flor, DDS
• Forefront Dermatology, S.C.
• Fountain Lake Family Dental
• Anne Louise Gallion, MD
• John Zheng Gao, MD
• Gentle Guidance LLC (Abigail Goskeson)
• Cynthia R Gilbert, PA-C
• Christine Ann Gislason, COTA/L

• Community/Behavioral Health Agency in Albert Lea, MN
• Providers in Albert Lea, 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 Oct 30, 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.