STATE OF MINNESOTA
NPI 1639355902
Psychiatric Residential Treatment Facility in Moose Lake, MN
About State Of Minnesota NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF MINNESOTA (NPI 1639355902) is a healthcare organization registered as a psychiatric residential treatment facility in Moose Lake, Minnesota and active in the NPI registry since January 2008. The organization lists Bruce J Hawkinson, State Program Admin Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOOSE LAKE, MN 55767
MOOSE LAKE, MN 55767
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 State Of Minnesota's NPI number?
The NPI number for State Of Minnesota is 1639355902. It was assigned to this organization in the NPPES registry on January 16, 2008.
Where is State Of Minnesota located?
State Of Minnesota is located at 1111 Highway 73, Moose Lake, MN 55767. The listed phone number is (218) 485-5300.
What is State Of Minnesota's specialty?
The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
When was this NPI record last updated?
The NPPES record for State Of Minnesota was last updated on January 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.