Provider Demographics
NPI:1275653651
Name:PRODUCTIVE ALTERNATIVES INC.
Entity Type:Organization
Organization Name:PRODUCTIVE ALTERNATIVES INC.
Other - Org Name:PRODUCTIVE ALTERNATIVES DETOX CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SKAUGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-998-5638
Mailing Address - Street 1:1205 N TOWER RD
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-1077
Mailing Address - Country:US
Mailing Address - Phone:218-998-5636
Mailing Address - Fax:218-736-2541
Practice Address - Street 1:1017 NORTH TOWER RD
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1077
Practice Address - Country:US
Practice Address - Phone:218-998-4387
Practice Address - Fax:218-998-4390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1041195324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8J42PROtherBLUE CROSS BLUE SHIELD
MN5250530OtherMEDICA