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Contact Information

WILD RIVER SERVICES INC
1394 JACKSON ST
SAINT PAUL, MN55117
 Phone: 651-558-9522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for WILD RIVER SERVICES INC

NPI # 1467961193
LBN Legal business name WILD RIVER SERVICES INC
Authorized official COLIN FAULKNER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/26/2017
Last updated 07/10/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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