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NPI Code Detail

MEDICARE: DIMENSIONS IN RECOVERY

MEDICARE: DIMENSIONS IN RECOVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center1017236-2-CDTMN

General Provider Information

NPI Number : 1245321520
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIMENSIONS IN RECOVERY
Provider Business Mailing Address
First Line : 207 DIVISION ST. E
Second Line : BOX 308
City : MAPLE LAKE
State : MN
Zip : 55358
Country : US
Telephone Number : 320-963-6865
Fax Number :
Provider Business Practice Location Address
First Line : 33 BIRCH AVE.
Second Line :
City : MAPLE LAKE
State : MN
Zip : 55358
Country : US
Telephone Number : 612-267-2493
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MIKE HAPP
Credential :
Telephone Number : 612-501-9839
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1760587109 — MAPLE LAKE RECOVERY CENTER, INC.
Practice Location Address:
207 DIVISION ST. E
MAPLE LAKE, MN
55358
Practice Phone: 320-963-6865
Practice Fax: 320-963-6279
1063596344 — DR. TERRY ANN KISNER DC
Practice Location Address:
121 DIVISION ST.
MAPLE LAKE, MN
55358
Practice Phone: 320-963-6003
Practice Fax: 320-963-7003
1932285764 — DR. DENNIS LEROY QUINLAN DDS
Practice Location Address:
57 BIRCH AVE S
MAPLE LAKE, MN
55358-0371
Practice Phone: 320-963-3794
Practice Fax:
1831275809 — VIRGINA RAE SHINABARGER D.C.
Practice Location Address:
121 DIVISION
MAPLE LAKE, MN
55358
Practice Phone: 320-963-6003
Practice Fax:
1316015290 — INDEPENDENT SCHOOL DISTRICT #881
Practice Location Address:
200 STATE HIGHWAY 55 EAST , BOX 820
MAPLE LAKE, MN
55358-0820
Practice Phone: 320-963-3171
Practice Fax: 320-963-3170
1538220926 — CITY OF MAPLE LAKE
Practice Location Address:
10 MAPLE AVE S
MAPLE LAKE, MN
55358-4558
Practice Phone: 320-963-3611
Practice Fax: 320-963-6612

Directions to “DIMENSIONS IN RECOVERY ” Practice Location

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