NPIMap

Organization Active NPI

Metro Treatment of Minnesota, LP

  • Community/Behavioral Health Agency
  • Duluth, MN
National Provider Identifier
1902012107
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1008733-1-CDT Issued in MN
Legal business name
METRO TREATMENT OF MINNESOTA, LP
Practice address
14 E Central Entrance
Suite B
Duluth, MN 55811-5508
Phone
(218) 786-0223
Fax
(218) 786-0226
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Patrick John Chunn
Title
Cfo
Phone
(407) 351-7080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1008733-1-CDT MN Primary
Clinic Pharmacy 3336C0002X 261964-8 MN

Addresses

Primary practice location

14 E Central Entrance
Suite B
Duluth, MN 55811-5508

Mailing address

14050 Town Loop Blvd
Suite 204
Orlando, FL 32837-6190
Phone (407) 351-7080

Other names 1

  • Lake Superior Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metro Treatment of MN LP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

14050 Town Loop Blvd
Ste 204
Orlando, FL 32837
Phone (407) 251-8800

14 E Central Entrance
#B
Duluth, MN 55811
Phone (218) 786-0223

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1902012107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 TOWN LOOP BLVD",
            "address_2": "SUITE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376190",
            "telephone_number": "407-351-7080",
            "fax_number": "407-351-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E CENTRAL ENTRANCE",
            "address_2": "SUITE B",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115508",
            "telephone_number": "218-786-0223",
            "fax_number": "218-786-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TREATMENT OF MINNESOTA, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "CHUNN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-351-7080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1008733-1-CDT",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MN",
            "license": "261964-8",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Superior Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Superior Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.