THE HEIGHTS - JACKSON – NPI #1467961193
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.

THE HEIGHTS - JACKSON is a substance abuse rehabilitation facility located in SAINT PAUL, MN. NPPES has assigned the NPI number 1467961193 to THE HEIGHTS - JACKSON on September 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE HEIGHTS - JACKSON” is a dba name, the actual legal business name for this organization is WILD RIVER SERVICES INC. 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 8 years ago on Jul 10, 2018. 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 THE HEIGHTS - JACKSON below.

NPI Profile for
WILD RIVER SERVICES INC

NPI Number
1467961193
Enumeration Date

(more than 8 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
Doing Business As (dba): THE HEIGHTS - JACKSON
Primary location
1394 JACKSON ST
SAINT PAUL, MN 55117
Phone: (651) 558-9522 Fax:
Mailing address
1394 JACKSON ST STE 300
SAINT PAUL, MN 55117-4629
Phone: (651) 558-9522 Fax: (651) 207-1771
Organization Subpart
Yes - THE HEIGHTS - JACKSON is subpart of another organization.
Authorized Official
COLIN FAULKNER
EXECUTIVE DIRECTOR
Phone: (651) 558-9522
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)

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.