Provider Demographics
NPI:1265177398
Name:BEMIDJI AREA PROGRAM FOR RECOVERY, INC.
Entity type:Organization
Organization Name:BEMIDJI AREA PROGRAM FOR RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BUSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-444-5155
Mailing Address - Street 1:403 4TH ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-3196
Mailing Address - Country:US
Mailing Address - Phone:218-444-5155
Mailing Address - Fax:218-333-3921
Practice Address - Street 1:16730 US HWY 2
Practice Address - Street 2:
Practice Address - City:BAGLEY
Practice Address - State:MN
Practice Address - Zip Code:56621
Practice Address - Country:US
Practice Address - Phone:218-444-5155
Practice Address - Fax:218-333-3921
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEMIDJI AREA PROGRAM FOR RECOVERY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1411674742Medicaid
MN1363897080OtherBLUE PLUS
MN1410984460OtherBLUE CROSS BLUE SHIELD MINNESOTA
MN1411901281OtherPRIMEWEST
1363573805OtherUCARE