DOUGLAS PLACE TREATMENT CENTER LLC
NPI 1306277645
Substance Abuse Rehabilitation Facility in East Grand Forks, MN

Active since December 12, 2013CLIA 24D2077122 · Waiver
1111 GATEWAY DR NE, EAST GRAND FORKS, MN 56721(612) 326-7600 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Place Treatment Center Llc NPPES

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

DOUGLAS PLACE TREATMENT CENTER LLC (NPI 1306277645), doing business as Eosis Northern Plains, is a healthcare organization registered as a substance abuse rehabilitation facility in East Grand Forks, Minnesota and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Lewis P Zeidner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306277645
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDOUGLAS PLACE TREATMENT CENTER LLC
Location Address1111 GATEWAY DR NEEast Grand Forks, MN 56721-2620
Mailing Address550 Main St, Ste 230Saint Paul, MN 55112-3271
Organization SubpartNo
Authorized OfficialLewis P ZeidnerCeo · (763) 245-8278
Enumeration DateDecember 12, 2013
Last NPPES UpdateFebruary 21, 2025
NPI 1306277645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in MN · 1071339
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.
1111 GATEWAY DR NE, East Grand Forks, MN 56721

Other Names 1

Doing Business AsEosis Northern Plains

Accepted Insurance

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 24D2077122

Douglas Place Dba Eosis Northern Plains · East Grand Forks, MN
Active · expires Apr 30, 2028
CLIA Number24D2077122
Laboratory TypeSud Treatment Facility
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorEmily Brunner
Laboratory Phone(612) 454-5000
Laboratory LocationDouglas Place Dba Eosis Northern Plains1111 Gateway Drive NE, East Grand Forks, MN 56721
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
1111 GATEWAY DR NE
EAST GRAND FORKS, MN 56721

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 Douglas Place Treatment Center LLC's NPI number?

The NPI number for Douglas Place Treatment Center LLC is 1306277645. It was assigned to this organization in the NPPES registry on December 12, 2013. The provider is doing business as Eosis Northern Plains.

Where is Douglas Place Treatment Center LLC located?

Douglas Place Treatment Center LLC is located at 1111 Gateway Dr NE, East Grand Forks, MN 56721. The listed phone number is (612) 326-7600.

What is Douglas Place Treatment Center LLC's specialty?

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

Does Douglas Place Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2077122) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Douglas Place Treatment Center LLC accept?

Health plans from Sanford Health Plan list Douglas Place Treatment Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Place Treatment Center LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.