NPIMap

Organization Active NPI

Rum River Health Services, Inc.

  • Adult Mental Health Clinic/Center
  • Princeton, MN
National Provider Identifier
1952643843
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RUM RIVER HEALTH SERVICES, INC.
Practice address
1506 1St St
Princeton, MN 55371-1462
Phone
(763) 389-5080
Fax
(763) 389-5453
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Jeffrey Donald Larson
Title
Executive Director
Phone
(763) 389-5080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1506 1St St
Princeton, MN 55371-1462

Mailing address

101 18TH Ave N
Princeton, MN 55371-4756
Phone (763) 389-5080

National Provider Directory

National Provider Directory
Tax ID family
Rum River Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1952643843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 18TH AVE N",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714756",
            "telephone_number": "763-389-5080",
            "fax_number": "763-631-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 1ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711462",
            "telephone_number": "763-389-5080",
            "fax_number": "763-389-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUM RIVER HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-389-5080"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.