DAB OF PELICAN RAPIDS NPI 1366516403

NPI Information

  • NPI: 1366516403
  • Provider Name: DAB OF PELICAN RAPIDS
  • Classification: Clinic/Center - 261QR0800X
  • Specialization: Recovery Care
  • Entity Type: Organization
  • Doing Business As: RED RIVER RECOVERY CENTER
  • Address: 701 CENTER AVE E
    DILWORTH, MN
    ZIP 56529
  • Phone: (218) 284-7772

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NPI Details

DAB OF PELICAN RAPIDS is a recovery care clinic center in Dilworth, MN. DAB OF PELICAN RAPIDS NPI is 1366516403. The provider is registered as an organization entity type.
The provider Is Doing Business As Red River Recovery Center.

The provider's business location address is:

701 CENTER AVE E
DILWORTH, MN
ZIP 56529-410
Phone: (218) 284-7772
Fax: (218) 284-7774

The provider's authorized official is Deborah A Borstad .
The authorized official title is Owner Director and has the following contact phone number (218) 284-7772.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/14/2008.

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
1261QR0800XClinic/CenterRecovery CareYes

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
1807122500MEDICARE UPINMINNESOTA

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: 3/30/2025

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