MEADOW CREEK LLC NPI 1033233788

NPI Information

  • NPI: 1033233788
  • Provider Name: MEADOW CREEK LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • :
  • Address: 17305 MEADOW CREEK LANE
    PINE CITY, MN
    ZIP 55063
  • Phone: (763) 444-4838

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NPI Details

MEADOW CREEK LLC is a substance abuse rehabilitation facility in Pine City, MN. The provider is 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. MEADOW CREEK LLC NPI is 1033233788. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

17305 MEADOW CREEK LANE
PINE CITY, MN
ZIP 55063
Phone: (763) 444-4838
Fax: (763) 444-6007

The provider's authorized official is Lewis P Zeidner .
The authorized official title is Ceo and has the following contact phone number (763) 245-8278.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/21/2025.

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 License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility804733MINNESOTANo
2324500000XSubstance Abuse Rehabilitation Facility804733 2 CDTMINNESOTAYes
3324500000XSubstance Abuse Rehabilitation Facility1033825 2 DSMINNESOTANo

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: 11/21/2025

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