Northern Pines Mental Health Center

LBN: Northern Pines Mental Health Center, Inc.
Northern Pines Mental Health Center is an health care organization with primary practice located at 1906 5Th Ave Se , Little Falls MN 56345-3317. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Northern Pines Mental Health Center, Inc. can be contacted via phone (320) 632-6647, or through Anderson, Glenn M via phone (320) 632-6647.

Contact Information

Primary practice address
1906 5Th Ave Se Little Falls MN 56345-3317
Phone: (320) 632-6647
Fax: (320) 632-9525
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Glenn M JD
Phone: (320) 632-6647

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 8017541MHC Minnesota
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1001061CDT Minnesota
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 10102841CDT Minnesota

Profile Details

NPI number 1013904051
LBN Legal business name Northern Pines Mental Health Center, Inc.
DBA Doing business as Northern Pines Mental Health Center
Authorized official Anderson, Glenn M JD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated May 2nd, 2016 - about 8 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 1013904051 NPPES
Minnesota Other 83367N0 BCBS OF MINNESOTA
Minnesota MEDICAID 834755700 BCBS OF MINNESOTA
Minnesota Other 4788N0 BCBS OF MINNESOTA
Minnesota Other 98224 BCBS OF MINNESOTA
Minnesota MEDICAID 007444000 BCBS OF MINNESOTA
Minnesota Other 126039 BCBS OF MINNESOTA
Minnesota MEDICAID 195354100 BCBS OF MINNESOTA
Minnesota Other 6369 BCBS OF MINNESOTA

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