DRAKE RESIDENTIAL TREATMENT CENTER – NPI #1841449246
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

DRAKE RESIDENTIAL TREATMENT CENTER is a substance abuse rehabilitation facility located in DETROIT LAKES, MN. NPPES has assigned the NPI number 1841449246 to DRAKE RESIDENTIAL TREATMENT CENTER on September 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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 DRAKE RESIDENTIAL TREATMENT CENTER below.

NPI Profile for
DRAKE RESIDENTIAL TREATMENT CENTER

NPI Number
1841449246
Enumeration Date

(about 18 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
DRAKE RESIDENTIAL TREATMENT CENTER
Primary location
28579 US HIGHWAY 10
DETROIT LAKES, MN 56501-7308
Phone: (218) 844-5191 Fax: (218) 844-5193
Mailing address
1202 23RD ST S
FARGO, ND 58103-2951
Phone: (701) 293-5429 Fax: (701) 293-0736
Organization Subpart
No
Authorized Official
TERI VAREBERG
BUSINESS MANAGER
Phone: (701) 293-5429
Updated
Identifiers

Identifiers for DRAKE RESIDENTIAL TREATMENT CENTER

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
MEDICAIDND3002
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
MN 1050972

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.