RIVER BLUFFS HEALTH AND WELLNESS PLLC NPI 1174268478

NPI Information

NPI: 1174268478
Provider Name: RIVER BLUFFS HEALTH AND WELLNESS PLLC

Doing Business As: RIVER BLUFFS HEALTH AND WELLNESS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
205 N CHESTNUT ST STE 108
LA CRESCENT, MN
ZIP 55947
Phone: (507) 323-1200
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RIVER BLUFFS HEALTH AND WELLNESS PLLC is a mental health (including community mental health center) clinic center in La Crescent, MN. RIVER BLUFFS HEALTH AND WELLNESS PLLC NPI is 1174268478. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As River Bluffs Health And Wellness.

The provider's business location address is:

205 N CHESTNUT ST STE 108
LA CRESCENT, MN
ZIP 55947-282
Phone: (507) 323-1200
Fax: (507) 323-1203

The provider's authorized official is Derek J Dulek .
The authorized official title is Managing Member and has the following contact phone number (507) 323-1200.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 4/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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