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Club Recovery LLC

Substance Use Disorder Rehabilitation Clinic/Center in Edina, MN · enumerated 2006 · authorized official Orrin Tietz, Administrative Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023032703

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Club Recovery LLC
Other name <Unavail>
Practice address 6550 York Ave S, Suite 620, Edina, MN, 55435
Phone (952) 926-2526
Fax (952) 926-6791
Enumeration date Jul 27, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 10043993CDT (MN) Primary

Authorized official

Name Orrin Tietz
Title Administrative Director
Phone (952) 926-2526

Other identifiers

Identifier Type State Issuer
97283 Other MN HEALTH PARTNERS
8447176 Other MN UNITED BEHAVIORAL HEALTH
8447177 Other MN UNITED BEHAVIORAL HEALTH
8468358 Other MN UNITED BEHAVIORAL HEALTH
8448321 Other MN UNITED BEHAVIORAL HEALTH
4D24CL Other MN BLUE CROSS BLUE SHIELD
8448324 Other MN UNITED BEHAVIORAL HEALTH
164215 Other MN UCARE OF MN
8448323 Other MN UNITED BEHAVIORAL HEALTH
8448322 Other MN UNITED BEHAVIORAL HEALTH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Club Recovery LLC?
Club Recovery LLC is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.