CEDAR RIDGE, INC – NPI #1043424047
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CEDAR RIDGE, INC is a substance abuse rehabilitation facility located in STILLWATER, MN. NPPES has assigned the NPI number 1043424047 to CEDAR RIDGE, INC on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 CEDAR RIDGE, INC below.

NPI Profile for
CEDAR RIDGE, INC

NPI Number
1043424047
Enumeration Date

(more than 19 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
CEDAR RIDGE, INC
Primary location
11400 JULIANNE AVE N
STILLWATER, MN 55082-9436
Phone: (612) 326-7555 Fax:
Mailing address
550 MAIN ST
NEW BRIGHTON, MN 55112-3271
Phone: (612) 326-7555 Fax:
Organization Subpart
No
Authorized Official
VALERIE BUNDY
CONTROLLER
Phone: (612) 326-7555
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MN 1033826

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.