1588732762 MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.
Lodging Provider
Reactivated
Basic Information
- Organization Name
- MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.
- Enumeration Date
- December 4, 2006
- Last Update
- May 8, 2023
- Deactivation Date
- June 25, 2008
- Reactivation Date
- August 17, 2009
- Authorized Official
- MR. JAMES W MALLERY II
ADMINISTRATOR
Phone: (218) 879-6731
Practice Location
- Address
- 9302 IDAHO STREET
DULUTH, MN 55808 - Phone
- (218) 727-7699
- Fax
- (218) 727-1476
Mailing Address
- Address
- PO BOX 66
SAWYER, MN 55780 - Phone
- (218) 879-6731
- Fax
- (218) 879-6734
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Lodging Provider | 177F00000X | Lodging | 8025091CDT | MN | No |
| Lodging Provider | 177F00000X | Lodging | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9594TH | 01 | MN | BCBS OF MINNESOTA |
| 786355100 | 05 | MN | N/A |
Frequently Asked Questions
What is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s NPI number?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s NPI number is 1588732762.
Which doctor has NPI number 1588732762?
The doctor with NPI number 1588732762 is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC..
What is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s practice address?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s practice address is 9302 IDAHO STREET, DULUTH, MN, 55808.
Which doctor practices at 9302 IDAHO STREET, DULUTH, MN, 55808?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. practices at 9302 IDAHO STREET, DULUTH, MN, 55808.
What is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s mailing address?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s mailing address is PO BOX 66, SAWYER, MN, 55780.
What is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s phone number?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s phone number is (218) 727-7699.
Who is (218) 727-7699?
(218) 727-7699 is the phone number for MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC..
What is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s specialty?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.'s specialty is Lodging Provider.
What type of doctor is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. is a Lodging Provider.
Is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. a Lodging?
Yes, MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. is a Lodging.
Is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. still practicing?
Yes, MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. has reactivated their practice and is currently practicing.
Is MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. accepting new patients?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. may be accepting new patients. Please call their office at (218) 727-7699 to inquire about availability.
Is NPI 1588732762 still active?
Yes, NPI 1588732762 has been reactivated and is currently active.
Where does MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. practice?
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. practices in DULUTH, MN.