Organization
WILD RIVER SERVICES
Active
Organization
WILD RIVER SERVICES
Active
Other names
The Heights University
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN KELLY FAULKNER (EXECUTIVE DIRECTOR)
(651) 558-9522
Entity
Organization
Contact information
Practice address
1246 UNIVERSITY AVE W STE 101, SAINT PAUL, MN 55104-4125
(651) 558-9522
Mailing address
1246 UNIVERSITY AVE W STE 101, SAINT PAUL, MN 55104-4125
(651) 558-9522
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1080800
MN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1084328
MN
Other
Enumeration date
03/11/2016
Last updated
01/20/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up