1. Home
  2. Directory
  3. NPI Profile

OBAASHING TREATMENT CENTER
NPI 1104412402
Substance Abuse Rehabilitation Facility in Ponemah, MN

Active since December 21, 2020
27190 NORTH SHORE RD, PONEMAH, MN 56666(218) 679-3341 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Feb 22, 2021, Dec 21, 2020 (3 updates tracked since 2020).

About Obaashing Treatment Center NPPES

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

OBAASHING TREATMENT CENTER (NPI 1104412402) is a healthcare organization registered as a substance abuse rehabilitation facility in Ponemah, Minnesota and active in the NPI registry since December 2020. The organization lists Charlene Andersen, Revenue Generation Director, as its authorized official.

NPPES Registry Identity

NPI1104412402
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameOBAASHING TREATMENT CENTER
Location Address27190 NORTH SHORE RDPonemah, MN 56666
Mailing AddressPo Box 566Redlake, MN 56671-0566 · (218) 679-1160
Phone(218) 679-3341
Organization SubpartNo
Authorized OfficialCharlene AndersenRevenue Generation Director · (218) 679-1320
Enumeration DateDecember 21, 2020
Last NPPES UpdateMarch 14, 20223 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1104412402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
27190 NORTH SHORE RD, Ponemah, MN 56666
Open in Google Maps ↗

Other Names 1

Doing Business AsObaashing Treatment Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OBAASHING WOMEN'S TREATMENT CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
27190 NORTH SHORE RD
PONEMAH, MN 56666
Beltrami County (218) 679-1160

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 Obaashing Treatment Center's NPI number?

The NPI number for Obaashing Treatment Center is 1104412402. It was assigned to this organization in the NPPES registry on December 21, 2020.

Where is Obaashing Treatment Center located?

Obaashing Treatment Center is located at 27190 North Shore Rd, Ponemah, MN 56666. The listed phone number is (218) 679-3341.

What is Obaashing Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Obaashing Treatment Center was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.