Cochran Out Patient Program
LBN: Cochran Recovery Services, Inc.
Cochran Out Patient Program is an health care organization with primary practice located at 310 Vermillion St , Hastings MN 55033-1237. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Cochran Recovery Services, Inc. can be contacted via phone (651) 438-2639, or through Terzick, Richard A via phone (651) 437-4209.
Contact Information
Primary practice address
310 Vermillion St
Hastings MN 55033-1237
Phone: (651) 438-2639
Fax: (651) 438-2752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 80061110CDT | Minnesota |
Profile Details
| NPI number | 1629471099 |
|---|---|
| LBN Legal business name | Cochran Recovery Services, Inc. |
| DBA Doing business as | Cochran Out Patient Program |
| Authorized official | Terzick, Richard A Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 30th, 2014 |
| Last updated | Oct 1st, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629471099 | NPPES |
| Minnesota | MEDICAID | 1629471099 | |
| Minnesota | MEDICAID | 1821491465 | |
| Minnesota | MEDICAID | 1134394828 |
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