National Provider Identifier Database

RANGE MENTAL HEALTH CENTER INC
Substance Abuse Disorder 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.


Contact Information

RANGE MENTAL HEALTH CENTER INC
626 S 13TH ST
VIRGINIA, MN55792
Phone: 218-741-9120
Fax: 218-741-3170
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for RANGE MENTAL HEALTH CENTER INC

NPI Number 1346318193
Legal business name
LBN
RANGE MENTAL HEALTH CENTER INC
Authorized official MARY CARPENTER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/01/2006
Last updated 04/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 053490100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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