Organization · Type 2 NPI

Cochran Recovery Services, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Hastings, MN

NPI number 1629471099 Active

Practice location

310 Vermillion St
Hastings, MN 55033-1237

Call (651) 438-2639 Map

Fax (651) 438-2752

Mailing address

1294 18th St E
Hastings, MN 55033-3680

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	80061110CDT (MN)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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NPI record

NPI: 1629471099
Entity type: Organization (Type 2)
Issued: Sep 30, 2014
Last updated: Oct 1, 2014
Status: Active
Subpart: Yes of Cochran Recovery Services, Inc.

Other names

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Cochran Out Patient Program · other name

Authorized official

Mr. Richard A Terzick, MA
Executive Director
(651) 437-4209

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629471099

Cochran Recovery Services, Inc.'s National Provider Identifier is 1629471099, issued on Sep 30, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Hastings, MN. The record was last updated on Oct 1, 2014.