NPIMap

Organization Active NPI

Specialized Treatment Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1982831533
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1054055 Issued in MN
Legal business name
SPECIALIZED TREATMENT SERVICES, INC.
Practice address
1132 Central Ave. NE
Minneapolis, MN 55413-1512
Phone
(612) 236-1700
Fax
(612) 236-1701
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECIALIZED TREATMENT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Glenn A McGregor
Title
Vice President
Phone
(612) 236-1703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1054055 MN Primary

Addresses

Primary practice location

1132 Central Ave. NE
Minneapolis, MN 55413-1512

Mailing address

1132 Central Ave. NE
Minneapolis, MN 55413-1512
Phone (612) 236-1700

Other names 1

  • STS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Opioid treatment program
Medicare-enrolled since May 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623000876 MN Part B Supplier - Opioid Treatment Program (Otp) 2466874342 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn Park, MN; Minneapolis, MN; Saint Paul, MN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Specialized Treatment Services8 organizations share this tax ID, including this one
Part of
Specialized Treatment Services

Other organizations with this tax ID 7

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": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1982831533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CENTRAL AVE. NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131512",
            "telephone_number": "612-236-1700",
            "fax_number": "612-236-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CENTRAL AVE. NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131512",
            "telephone_number": "612-236-1700",
            "fax_number": "612-236-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALIZED TREATMENT SERVICES, INC.",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "612-236-1703"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1054055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.