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Organization Active NPI

Community Behavioral Health Hospital-Fergus Falls

  • Psychiatric Hospital
  • Fergus Falls, MN
National Provider Identifier
1962583039
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
334077 Issued in MN
Legal business name
COMMUNITY BEHAVIORAL HEALTH HOSPITAL-FERGUS FALLS
Practice address
1801 West Alcott
Fergus Falls, MN 56537
Phone
(218) 332-5001
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Lynn Glancey
Title
Cfo
Phone
(651) 539-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 334077 MN Primary

Addresses

Primary practice location

1801 West Alcott
Fergus Falls, MN 56537

Mailing address

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186

Other identifiers 1

IdentifierTypeStateIssuer
025178100MedicaidMN

Other names 2

  • CBHH Fergus Falls Doing business as
  • CBHH-Fergus Falls Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070525000300 MN Part A Provider - Hospital 8426155466 Practice locations: Fergus Falls, MN
O20241126001176 MN Part B Supplier - Hospital Department(S) 8426155466 Receives reassigned benefits from 16 practitioners
Practice locations: Fergus Falls, MN

Hospital certification: CCN 244013

Legal name
COMMUNITY BEHAVIORAL HEALTH HOSPITAL-FERGUS FALLS
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 2, 2009
Last certification
Jan 2, 2009
Beds
16
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
1801 West Alcott
Fergus Falls, MN 56537-2661
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Behavioral Health Hospital Fergus FallsCCN 244013
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (612) 387-9243

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
State of Minnesota - Minnesota Management and Budget Organization, Saint Paul, MN Non-profit 5% Or Greater Direct Ownership Interest Sep 26, 2006 100%
Wade R Brost Individual Corporate OfficerInterim Executive Director May 22, 2013 100%
Operational/Managerial ControlInterim Executive Director May 22, 2013 100%
Lynn Marie Glancey Individual Corporate OfficerCfo Jul 1, 2025
W-2 Managing EmployeeCfo Jul 1, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1962583039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WEST ALCOTT",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "56537",
            "telephone_number": "218-332-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL HEALTH HOSPITAL-FERGUS FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GLANCEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-539-7200"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MN",
            "license": "334077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025178100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBHH Fergus Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CBHH-Fergus Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.