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FOUR WINDS LODGE
NPI 1285186007
Substance Abuse Rehabilitation Facility in Brainerd, MN

Active since October 27, 2016
11600 STATE AVE, BRAINERD, MN 56401(320) 532-4163 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2021, Mar 21, 2019, Aug 29, 2018 and 1 more (4 updates tracked since 2016).

About Four Winds Lodge NPPES

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

FOUR WINDS LODGE (NPI 1285186007) is a healthcare organization registered as a substance abuse rehabilitation facility in Brainerd, Minnesota and active in the NPI registry since October 2016. The organization lists Nicole Anderson, Hhs Commissioner, as its authorized official.

NPPES Registry Identity

NPI1285186007
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMILLE LACS BAND OF OJIBWE INDIANS
Location Address11600 STATE AVEBrainerd, MN 56401
Mailing Address18562 Minobimaadizi LoopOnamia, MN 56359-3001 · (320) 532-4163 · Fax (320) 532-7495
Phone(320) 532-4163
Organization SubpartYes
Authorized OfficialNicole AndersonHhs Commissioner · (320) 532-4163
Enumeration DateOctober 27, 2016
Last NPPES UpdateOctober 14, 20214 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1285186007 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.
11600 STATE AVE, Brainerd, MN 56401
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Other Names 1

Doing Business AsFour Winds Lodge

Other Providers at the Same Location NPPES 2

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

KATHLEEN DIANE KONGSJORD LPCC
Counselor (Mental Health)
11600 STATE AVE
BRAINERD, MN 56401
Crow Wing County (218) 454-8919
DR. TED MATZEN M.D.
Psychiatry & Neurology (Psychiatry)
11600 STATE AVE
BRAINERD, MN 56401
Crow Wing County (218) 330-7455

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 Mille Lacs Band Of Ojibwe Indians's NPI number?

The NPI number for Mille Lacs Band Of Ojibwe Indians is 1285186007. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is doing business as Four Winds Lodge.

Where is Mille Lacs Band Of Ojibwe Indians located?

Mille Lacs Band Of Ojibwe Indians is located at 11600 State Ave, Brainerd, MN 56401. The listed phone number is (320) 532-4163.

What is Mille Lacs Band Of Ojibwe Indians'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 Mille Lacs Band Of Ojibwe Indians was last updated on October 14, 2021. 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.