| Midwest Recovery, Inc | |
|
2626 E 82nd St Ste 335 Bloomington MN 55425-1682 | |
| (612) 584-4860 | |
| (612) 444-3292 |
| Full Name | Midwest Recovery, Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2626 E 82nd St Ste 335, Bloomington, Minnesota |
| Authorized Official Name and Position | Michael J Mchugh (PRESIDENT) |
| Authorized Official Contact | 6125844858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Recovery, Inc 2626 E 82nd St Ste 335 Bloomington MN 55425-1682 Ph: (612) 584-4858 | Midwest Recovery, Inc 2626 E 82nd St Ste 335 Bloomington MN 55425-1682 Ph: (612) 584-4860 |
| NPI Number | 1801268354 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 3476076712 |
|---|---|
| Medicare Enrollment ID | O20250327002767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801268354 | NPI | - | NPPES |
| Provider Name | Lois A Kemmet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619951381 PECOS PAC ID: 4587613310 Enrollment ID: I20050119000119 |
| Provider Name | Rebecca L Goffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003048885 PECOS PAC ID: 7416132790 Enrollment ID: I20110502000354 |
| Provider Name | Cassidy M Furey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679837926 PECOS PAC ID: 3274770953 Enrollment ID: I20130517000052 |
| Provider Name | Shaundra Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942962097 PECOS PAC ID: 5597282020 Enrollment ID: I20250508001199 |
| Provider Name | Felixia Valerius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356799753 PECOS PAC ID: 3779001649 Enrollment ID: I20250514002279 |
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