OBAASHING TREATMENT CENTER – NPI #1104412402
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

OBAASHING TREATMENT CENTER is a substance abuse rehabilitation facility located in PONEMAH, MN. NPPES has assigned the NPI number 1104412402 to OBAASHING TREATMENT CENTER on December 21, 2020. 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 4 years ago on Mar 14, 2022. 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 OBAASHING TREATMENT CENTER below.

NPI Profile for
OBAASHING TREATMENT CENTER

NPI Number
1104412402
Enumeration Date

(more than 5 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
OBAASHING TREATMENT CENTER
Doing Business As (dba): OBAASHING TREATMENT CENTER
Primary location
27190 NORTH SHORE RD
PONEMAH, MN 56666
Phone: (218) 679-3341 Fax:
Mailing address
PO BOX 566
REDLAKE, MN 56671-0566
Phone: (218) 679-1160 Fax:
Organization Subpart
No
Authorized Official
CHARLENE ANDERSEN
REVENUE GENERATION DIRECTOR
Phone: (218) 679-1320
Updated
Certification Date
Aug 20, 2021

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
324500000X
- Substance Abuse Rehabilitation Facility (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.