Organization
PROGRESS VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED BOSTROM DMFT, LMFT, LADC (CHIEF EXECUTIVE OFFICER)
(952) 956-3101
Entity
Organization
Contact information
Practice address
1100 E 80TH ST, BLOOMINGTON, MN 55420-1426
(952) 956-3100
(612) 869-3225
Mailing address
1100 E 80TH ST, BLOOMINGTON, MN 55420-1426
(952) 956-3100
(612) 869-3225
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
801980-1-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
876255400
MHCP PROVIDER NUMBER
MN
Enumeration date
02/27/2007
Last updated
05/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us