MINNESOTA SEX OFFENDER PROGRAM
NPI 1730354549
Psychiatric Residential Treatment Facility in Moose Lake, MN
About Minnesota Sex Offender Program NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINNESOTA SEX OFFENDER PROGRAM (NPI 1730354549) is a healthcare organization registered as a psychiatric residential treatment facility in Moose Lake, Minnesota and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Lynn Glancey, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 24D0975545
Minnesota Sex Offender Program · Moose Lake, MNOther 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
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 Minnesota Sex Offender Program's NPI number?
The NPI number for Minnesota Sex Offender Program is 1730354549. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider is also known as Moose Lake Regional State Operated Services.
Where is Minnesota Sex Offender Program located?
Minnesota Sex Offender Program is located at 1111 Highway 73, Moose Lake, MN 55767. The listed phone number is (218) 485-5300.
What is Minnesota Sex Offender Program's specialty?
The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
Does Minnesota Sex Offender Program hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0975545) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Minnesota Sex Offender Program was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.