Provider Demographics
NPI:1376258673
Name:ASCERTAIN HEALTHCARE LLP
Entity Type:Organization
Organization Name:ASCERTAIN HEALTHCARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLETTE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-460-9095
Mailing Address - Street 1:90626 KOECHER RD
Mailing Address - Street 2:
Mailing Address - City:KERRICK
Mailing Address - State:MN
Mailing Address - Zip Code:55756-3126
Mailing Address - Country:US
Mailing Address - Phone:218-460-9095
Mailing Address - Fax:
Practice Address - Street 1:413 COMMERCIAL AVE N
Practice Address - Street 2:
Practice Address - City:SANDSTONE
Practice Address - State:MN
Practice Address - Zip Code:55072-4412
Practice Address - Country:US
Practice Address - Phone:320-245-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder