VINLAND NATIONAL CENTER NPI 1144329632

NPI Information

  • NPI: 1144329632
  • Provider Name: VINLAND NATIONAL CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 24D2062859
  • Address: 3675 IHDUHAPI RD
    LORETTO, MN
    ZIP 55357
  • Phone: (763) 479-3555

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NPI Details

VINLAND NATIONAL CENTER is a substance abuse rehabilitation facility in Loretto, 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. VINLAND NATIONAL CENTER NPI is 1144329632. The provider is registered as an organization entity type.

The provider's business location address is:

3675 IHDUHAPI RD
LORETTO, MN
ZIP 55357-308
Phone: (763) 479-3555
Fax: (763) 479-2605

The provider's authorized official is Renee Olson .
The authorized official title is Executive Administrator and has the following contact phone number (763) 479-4518.

The CLIA number assigned to this NPI record is 24D2062859 - other - cd treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/15/2025.

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 Facility10394132CDTMINNESOTANo
2324500000XSubstance Abuse Rehabilitation Facility802601-3-CDTMINNESOTANo
3251S00000XCommunity/Behavioral Health10613151MHCMINNESOTANo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5324500000XSubstance Abuse Rehabilitation Facility1039413-1-CDTMINNESOTANo
6324500000XSubstance Abuse Rehabilitation Facility8026015CDTMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1098055200MEDICAIDMINNESOTA

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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