AVALON - COTTAGE GROVE – NPI #1538293915
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

AVALON - COTTAGE GROVE is a substance abuse rehabilitation facility located in COTTAGE GROVE, MN. NPPES has assigned the NPI number 1538293915 to AVALON - COTTAGE GROVE on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVALON - COTTAGE GROVE” is a dba name, the actual legal business name for this organization is AVALON PROGRAMS LLC. With multiple taxonomy codes selected, 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 18 years ago on Sep 17, 2008. 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 AVALON - COTTAGE GROVE below.

NPI Profile for
AVALON PROGRAMS LLC

NPI Number
1538293915
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
AVALON PROGRAMS LLC
Doing Business As (dba): AVALON - COTTAGE GROVE
Primary location
7501 80TH STREET SOUTH
SUITE 102
COTTAGE GROVE, MN 55016
Phone: (651) 458-3757 Fax: (651) 458-3756
Mailing address
550 MAIN STREET
SUITE 230
NEW BRIGHTON, MN 55112
Phone: (612) 326-7600 Fax: (651) 631-3231
Organization Subpart
No
Authorized Official
PAUL LINDEMAN
DIRECTOR REVENUE CYCLE MGMT
Phone: (612) 326-7566
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 8009954CDT
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

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.