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ZUMBRO VALLEY HEALTH CENTER NPI 1801961263


NPI Information

NPI: 1801961263
Provider Name: ZUMBRO VALLEY HEALTH CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 24D2069807

Address:
343 WOOD LAKE DRIVE SE
ROCHESTER, MN
ZIP 55904
Phone: (507) 289-2089
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ZUMBRO VALLEY HEALTH CENTER is a community behavioral health in Rochester, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ZUMBRO VALLEY HEALTH CENTER NPI is 1801961263. The provider is registered as an organization entity type.

The provider's business location address is:

343 WOOD LAKE DRIVE SE
ROCHESTER, MN
ZIP 55904
Phone: (507) 289-2089
Fax: (507) 289-2327

The provider's authorized official is Tracy Lynn Lee .
The authorized official title is Chief Operating Off and has the following contact phone number (507) 535-5715.

The CLIA number assigned to this NPI record is 24D2069807 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/24/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health802789-1-MHCMINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19002ZUOTHERMINNESOTABCBS - CD TREATMENT
2288625100MEDICAIDMINNESOTA
339853ZUOTHERMINNESOTABCBS - MH
4275055400MEDICAIDMINNESOTA
59823ZUOTHERMINNESOTABCBS - DETOX
6C00506MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE
7275055401MEDICAIDMINNESOTA
8300645100MEDICAIDMINNESOTA

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

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