WILD RIVER SERVICES INC – NPI #1962013847
Clinic/Center

WILD RIVER SERVICES INC is an AHC clinic located in SAINT PAUL, MN. NPPES has assigned the NPI number 1962013847 to WILD RIVER SERVICES INC on August 13, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILD RIVER SERVICES INC below.

NPI Profile for
WILD RIVER SERVICES INC

NPI Number
1962013847
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILD RIVER SERVICES INC
Primary location
1394 JACKSON ST STE 220
SAINT PAUL, MN 55117-4631
Phone: (651) 558-9522 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COLIN FAULKNER
EXECUTIVE DIRECTOR
Phone: (651) 558-9522
Updated
Certification Date
Aug 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.