<Unavail>

LBN: Wild River Services
<Unavail> is an health care organization with primary practice located at 796 Capitol Hts , Saint Paul MN 55103-1852. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Wild River Services can be contacted via phone (651) 558-9522, or through Faulkner, Colin Kelly via phone (651) 558-9522.

Contact Information

Primary practice address
796 Capitol Hts Saint Paul MN 55103-1852
Phone: (651) 558-9522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faulkner, Colin Kelly
Phone: (651) 558-9522

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1084357 Minnesota

Profile Details

NPI number 1679988109
LBN Legal business name Wild River Services
DBA Doing business as <Unavail>
Authorized official Faulkner, Colin Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2014
Last updated Jan 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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