Minnesota Indian Primary Residential Treatment Center, Inc.
NPI 1588732762ActiveOrganization· Lodging· Duluth, MN
Lodging in Duluth, Minnesota, registered in NPPES in December 2006. The authorized official on file is James W. Mallery, Administrator.
Overview
| NPI | 1588732762 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2006 |
| Last updated in NPPES | May 8, 2023 |
| Certified by provider | May 8, 2023 |
| Reactivated | Aug 17, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Lodging Primary | 177F00000X | — | — |
| Lodging | 177F00000X | 8025091CDT | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|