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Minnesota Indian Primary Residential Treatment Center, Inc.

Substance Abuse Rehabilitation Facility in Sawyer, MN · enumerated 2006 · authorized official James Mallery II, Business Manager.

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

National Provider Identifier

1578621579

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Registry record

Entity type Organization (Type 2)
Legal business name Minnesota Indian Primary Residential Treatment Center, Inc.
Other name <Unavail>
Practice address 1150 Mission Rd, Sawyer, MN, 55780
Phone (218) 879-6731
Fax (218) 879-6734
Enumeration date Dec 4, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name James Mallery II
Title Business Manager
Phone (218) 879-6731

Other identifiers

Identifier Type State Issuer
5013717 Other MN MEDICA
111904 Other MN UCARE
8103MA Other MN BCBS OF MINNESOTA
9825MA Other MN BCBS OF MINNESOTA

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

Who is the authorized official for Minnesota Indian Primary Residential Treatment Center, Inc.?
NPPES lists James Mallery II (Business Manager) as the authorized official for this organization.
What is the NPI number for Minnesota Indian Primary Residential Treatment Center, Inc.?
The NPI for Minnesota Indian Primary Residential Treatment Center, Inc. is 1578621579, a Type 2 (organization) record in the CMS NPPES registry.

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