1. Home
  2. Directory
  3. Minnesota
  4. Chisholm
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

RANGE CENTER, INC
NPI 1093876955
Intermediate Care Facility, Intellectual Disabilities in Chisholm, MN

Active since December 13, 2006CLIA 24D1106358 · Waiver
1001 8TH AVE NW, CHISHOLM, MN 55719(218) 254-3347(218) 254-7343 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Range Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANGE CENTER, INC (NPI 1093876955) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chisholm, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Jim Zahorsky, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093876955
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRANGE CENTER, INC
Location Address1001 8TH AVE NWChisholm, MN 55719-1148
Mailing Address1001 8th Ave Nw, P.o. Box 629Chisholm, MN 55719-1148 · (218) 254-3347 · Fax (218) 254-7343
Phone(218) 254-3347
Fax(218) 254-7343
Organization SubpartNo
Authorized OfficialJim ZahorskyCfo · (218) 254-3347
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093876955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MN · 802034-3-RS
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1001 8TH AVE NW, Chisholm, MN 55719
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1106358

Range Center Inc · Chisholm, MN
Active · expires Oct 11, 2027
CLIA Number24D1106358
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorKrystle Glad
Laboratory Phone(218) 254-3347
Laboratory LocationRange Center Inc1001 NW 8th Avenue, Chisholm, MN 55719
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Range Center, Inc's NPI number?

The NPI number for Range Center, Inc is 1093876955. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Range Center, Inc located?

Range Center, Inc is located at 1001 8th Ave NW, Chisholm, MN 55719. The listed phone number is (218) 254-3347.

What is Range Center, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Range Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1106358) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Range Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.