NPIMap

Organization Active NPI

Range Mental Health Center Inc

Doing business as Merritt House

  • Mental Illness Community Based Residential Treatment Facility
  • Virginia, MN
National Provider Identifier
1932368313
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
RANGE MENTAL HEALTH CENTER INC
Doing business as
Merritt House
Practice address
731 3Rd St S
Virginia, MN 55792
Phone
(218) 741-9630
Fax
(218) 741-2640
NPI assigned
Jun 2, 2008
Organization subpart
Yes
Parent organization
RANGE MENTAL HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Mary J Carpenter, MSED, LP
Title
Ceo
Phone
(218) 749-2881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

731 3Rd St S
Virginia, MN 55792

Mailing address

PO Box 1188
624 S 13TH St
Virginia, MN 55792
Phone (218) 749-2881

Other names 1

  • Merritt House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Range Mental Health Cen5 organizations share this tax ID, including this one
Part of
Range Mental Health Cen

Other organizations with this tax ID 4

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1932368313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "address_2": "624 S 13TH ST",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 3RD ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-741-9630",
            "fax_number": "218-741-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGE MENTAL HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANGE MENTAL HEALTH CENTER INC",
        "enumeration_date": "2008-06-02",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-749-2881",
        "authorized_official_credential": "MSED, LP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merritt House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.