CENTRAL MN RECEIVING & REFERRAL – NPI #1629190764
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.

CENTRAL MN RECEIVING & REFERRAL is a substance abuse rehabilitation facility located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1629190764 to CENTRAL MN RECEIVING & REFERRAL on April 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL MN RECEIVING & REFERRAL” is a dba name, the actual legal business name for this organization is CENTRAL MINNESOTA MENTAL HEALTH CENTER. 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 15 years ago on Dec 20, 2010. 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 CENTRAL MN RECEIVING & REFERRAL below.

NPI Profile for
CENTRAL MINNESOTA MENTAL HEALTH CENTER

NPI Number
1629190764
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
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Doing Business As (dba): CENTRAL MN RECEIVING & REFERRAL
Primary location
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone: (320) 252-6654 Fax: (320) 529-1975
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID BARAGA
EXECUTIVE DIRECTOR
Phone: (320) 202-2033
Updated
Identifiers

Identifiers for CENTRAL MN RECEIVING & REFERRAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDHS LICENSE NUMBERMN804852-1-DS
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 804852-1-DS
101YA0400X
- Counselor / Addiction (Substance Use Disorder)
MN 804852-1-DS

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.