Moose Lake Regional State Operated Services

LBN: Minnesota Sex Offender Program
Moose Lake Regional State Operated Services is an health care organization with primary practice located at 1111 Highway 73 , Moose Lake MN 55767-9452. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Minnesota Sex Offender Program can be contacted via phone (218) 485-5300, or through Erskine, Jack via phone (218) 485-5300.

Contact Information

Primary practice address
1111 Highway 73 Moose Lake MN 55767-9452
Phone: (218) 485-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erskine, Jack
Phone: (218) 485-5300

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 339327 Minnesota

Profile Details

NPI number 1730354549
LBN Legal business name Minnesota Sex Offender Program
DBA Doing business as Moose Lake Regional State Operated Services
Authorized official Erskine, Jack
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Jun 18th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730354549 NPPES
Minnesota MEDICAID 679415000

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