Bloomington Treatment Services, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

BLOOMINGTON TREATMENT SERVICES, LLC

Practice address

4294 Dahlberg Dr
Golden Valley, MN 55422-4805

Phone

(763) 205-0356

NPI assigned

Jun 3, 2016

Organization subpart

Yes

Parent organization

PINNACLE TREATMENT CENTERS, INCAs reported in NPPES

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

Authorized official

Name

Scott Cohen

Title

VP Finance

Phone

(412) 281-5303

Specialties & licenses 1

Addresses

Other names 1

• Golden Valley Treatment Services Doing business as

Part of

Pinnacle Treatment Centers Oh -Xvii

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aryel Roxanne Londer, PHARMD

  • Pharmacist
  • Golden Valley, MN
  • NPI 1548709132
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1942659669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 SMALLMAN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011425",
            "telephone_number": "412-281-5303",
            "fax_number": "412-281-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 DAHLBERG DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224805",
            "telephone_number": "763-205-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON TREATMENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS, INC",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "412-281-5303"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Valley Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Assiat Bjadtoeva Boke, DC
• Beth Joyce Bjork, PT
• Molly S Blackmore, LMFT
• Amy J Blehert
• Lynn Marie Bloom, LICSW
• Blu Care Services LLC
• Blue Peak Consulting, LLC
• Julie Elizabeth Bluhm, LICSW
• Julien K Boayue, RN
• Diana D Bocklund, MS, LAT, ATC, FF/EMT

• Methadone Clinic in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Methadone Clinic in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.