Northern Lakes Clinic, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

NORTHERN LAKES CLINIC, INC.

Practice address

301 America Ave NW
Bemidji, MN 56601-3120

Phone

(218) 368-6680

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lois Cochrane Schlutter, PH.D.

Title

Ceo & Owner

Phone

(952) 925-5344

Specialties & licenses 1

Addresses

Other names 1

• Northern Lakes Clinic Doing business as

Tax ID family

Northern Lakes Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northern Lakes Clinic, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bemidji, MN
  • NPI 1114071420
  NPD tax ID

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750435459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 EXCELSIOR BLVD",
            "address_2": "SUITE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162730",
            "telephone_number": "952-925-5344",
            "fax_number": "952-548-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 AMERICA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013120",
            "telephone_number": "218-368-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LAKES CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLUTTER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "COCHRANE",
        "authorized_official_title_or_position": "CEO  &  OWNER",
        "authorized_official_telephone_number": "952-925-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Lakes Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Country Health Services
• North Country Medical Clinic
• North Homes, Inc.
• North Homes, Inc.
• Northern Lakes Clinic, Inc.
• Northern Minnesota Addiction Wellness Center
• Northern Safety & Security LLC
• Northern Therapy and Consulting, LLC
• Northland Nutrition Consulting, LLC
• Northstar Mind Mechanix LLC

• Methadone Clinic in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Methadone Clinic in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.