Provider Demographics
NPI:1487732707
Name:BELL HILL RECOVERY CENTER
Entity type:Organization
Organization Name:BELL HILL RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PAVEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-639-9521
Mailing Address - Street 1:12214 200TH ST
Mailing Address - Street 2:P.O. BOX 206
Mailing Address - City:WADENA
Mailing Address - State:MN
Mailing Address - Zip Code:56482-3124
Mailing Address - Country:US
Mailing Address - Phone:218-631-3610
Mailing Address - Fax:218-631-3917
Practice Address - Street 1:12214 200TH ST
Practice Address - Street 2:
Practice Address - City:WADENA
Practice Address - State:MN
Practice Address - Zip Code:56482-3124
Practice Address - Country:US
Practice Address - Phone:218-639-9521
Practice Address - Fax:218-631-3917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN800173-1-CDT324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility