DETOX – NPI #1851419345
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.

DETOX is a substance abuse rehabilitation facility located in VIRGINIA, MN. NPPES has assigned the NPI number 1851419345 to DETOX on March 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DETOX” is a dba name, the actual legal business name for this organization is RANGE MENTAL HEALTH CENTER 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 10 years ago on Apr 01, 2016. 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 DETOX below.

NPI Profile for
RANGE MENTAL HEALTH CENTER INC

NPI Number
1851419345
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
RANGE MENTAL HEALTH CENTER INC
Doing Business As (dba): DETOX
Primary location
626 S 13TH ST
VIRGINIA, MN 55792
Phone: (218) 741-9120 Fax: (218) 741-3170
Mailing address
624 S 13TH ST
VIRGINIA, MN 55792
Phone: (218) 749-2881 Fax: (218) 749-3806
Organization Subpart
No
Authorized Official
MARY CARPENTER
CHIEF EXECUTIVE OFFICER
Phone: (218) 749-2881
Updated
Identifiers

Identifiers for DETOX

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
OTHERBLUE CROSS BLUE SHIELDMN3L52RA
OTHERMEDICAMN5042378
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.