Minnesota Sex Offender Program
Minnesota Sex Offender Program is a healthcare organization registered as Psychiatric Residential Treatment Facility in Moose Lake, MN, holding Type 2 (organization) NPI 1730354549 since 2008. The authorized official on file is Lynn Glancey, Chief Financial Officer.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1730354549 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Minnesota Sex Offender Program |
| Other name | <Unavail> |
| Parent organization | Moose Lake Regional State Operated Services |
| Practice address | 1111 HIGHWAY 73, Moose Lake, MN, 55767 |
| Phone | 2184855300 |
| Enumeration date | 2008-04-23 |
| Last updated in NPPES | 2026-01-07 |
Authorized official
| Name | Lynn Glancey |
|---|---|
| Title | Chief Financial Officer |
| Phone | 6515397200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | Primary | 339327 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679415000 | Medicaid | MN | — |
Copy-ready billing details
Provider: Minnesota Sex Offender Program NPI: 1730354549 Taxonomy: 323P00000X (Psychiatric Residential Treatment Facility) Address: 1111 HIGHWAY 73, Moose Lake, MN, 55767
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023095874 | John Barry | Individual | Internal Medicine Physician | Moose Lake, MN |
| 1639355902 | State of Minnesota | Organization | Psychiatric Residential Treatment Facility | Moose Lake, MN |
| 1811168511 | Keri Ovsak | Individual | Family Nurse Practitioner | Moose Lake, MN |
| 1518287481 | Jonathan Klingaman | Individual | Psychiatric/Mental Health Nurse Practitioner | Moose Lake, MN |
| 1922540368 | Bruce Beaman | Individual | Marriage & Family Therapist | Moose Lake, MN |
| 1386186708 | Debbie Davis | Individual | Professional Counselor | Moose Lake, MN |
| 1386168573 | Tanya Eiffler | Individual | Family Nurse Practitioner | Moose Lake, MN |
Verify this record
Cross-check NPI 1730354549 against the authoritative CMS record: view Minnesota Sex Offender Program on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Minnesota Sex Offender Program?
What is the NPI number for Minnesota Sex Offender Program?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-07.