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Organization

NORTH HOMES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY LEE FILIPI (BILLING SPECIALIST)
(218) 751-0282
Entity
Organization

Contact information

Practice address
1880 RIVER RD, GRAND RAPIDS, MN 55744-4085
(218) 327-3000
(218) 327-1871
Mailing address
303 SE 1ST ST, GRAND RAPIDS, MN 55744-3681
(218) 327-3000
(218) 327-1871

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1010657-3-CRF
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151023
UCARE/PREF ONE PROV #
MN
01
3G922LA
BCBS LICSW GROUP #
MN
01
53B28NE
BCBS LP GROUP PROV #
MN
01
6251632
MEDICA/UBH PROV #
MN
05
632610200
MN
05
672949500
MN
05
672949503
MN
05
732687400
MN
05
732687401
MN
01
7Z11NO
BCBS CD SVCS GROUP #
MN
05
895519100
MN
01
9F84NO
BCBS RES/ASSMT GROUP #
MN
Enumeration date
05/30/2006
Last updated
07/27/2018
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