SHINGOBEE ISLAND LODGE INCORPORATED – NPI #1629263827
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
SHINGOBEE ISLAND LODGE INCORPORATED is a community based residential treatment facility located in WALKER, MN. NPPES has assigned the NPI number 1629263827 to SHINGOBEE ISLAND LODGE INCORPORATED on September 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
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 SHINGOBEE ISLAND LODGE INCORPORATED below.
NPI Profile for
SHINGOBEE ISLAND LODGE INCORPORATED
(about 19 years ago)
WALKER, MN 56484 Phone: (218) 547-7516 Fax:
7185 DEWDROP TRAIL NW
WALKER, MN 56484-0530 Phone: (218) 547-7516 Fax:
PRESIDENT
Phone: (218) 547-7516
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 |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
MN | 1005081-1-AFC |
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.