DOUGLAS PLACE TREATMENT CENTER LLC
NPI 1306277645
Substance Abuse Rehabilitation Facility in East Grand Forks, MN
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 24D2077122
- CLIA Cert. Type: Other - SUD TREATMENT FACILITY
- CLIA Exp. Date: 04-30-2028
About DOUGLAS PLACE TREATMENT CENTER LLC
This page provides the complete NPI Profile along with additional information for Douglas Place Treatment Center Llc, a provider established in East Grand Forks, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1306277645 assigned on December 2013. The practitioner's primary taxonomy code is 324500000X with license number 1071339 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Lewis P Zeidner Phd (Ceo)
- NPI
- 1306277645 Verify this NPI
- Provider Name
- DOUGLAS PLACE TREATMENT CENTER LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1111 GATEWAY DR NE EAST GRAND FORKS, MN 56721
- Location Phone
- (612) 326-7600
- Mailing Address
- 550 MAIN ST STE 230 SAINT PAUL, MN 55112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2013
- Last Update Date
- 02-21-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 1071339
- License State
- MN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2077122
- Facility Type
- Other - SUD TREATMENT FACILITY
- Certificate Effective Date
- May 01, 2026
- Certificate Expiration Date
- April 30, 2028
- Laboratory Director
- EMILY BRUNNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Douglas Place Treatment Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DOUGLAS PLACE TREATMENT CENTER LLC
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
EAST GRAND FORKS, MN 56721
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306277645, enumerated as an "organization" on December 12, 2013.
The provider is located at 1111 GATEWAY DR NE EAST GRAND FORKS, MN 56721 and the phone number is (612) 326-7600.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
