NPIMap

Organization Active NPI

Cochran Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Hastings, MN
National Provider Identifier
1821491465
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10337902DS Issued in MN
Legal business name
COCHRAN RECOVERY SERVICES, INC.
Practice address
1294 18TH St E
BLDG. 2
Hastings, MN 55033-3680
Phone
(651) 437-4209
Fax
(651) 438-4144
NPI assigned
Sep 26, 2014
Last updated
Sep 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Mr. Richard A Terzick, MA
Title
Executive Director
Phone
(651) 437-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10337902DS MN Primary

Addresses

Primary practice location

1294 18TH St E
BLDG. 2
Hastings, MN 55033-3680

Mailing address

1294 18TH St E
BLDG. 2
Hastings, MN 55033-3680
Phone (651) 437-4209

Other identifiers 1

IdentifierTypeStateIssuer
1134394828MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Dakota County Receiving Center4 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.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1821491465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 18TH ST E",
            "address_2": "BLDG. 2",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333680",
            "telephone_number": "651-437-4209",
            "fax_number": "651-438-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 18TH ST E",
            "address_2": "BLDG. 2",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333680",
            "telephone_number": "651-437-4209",
            "fax_number": "651-438-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHRAN RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "TERZICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-437-4209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "10337902DS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134394828",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.