Provider Demographics
NPI:1912396813
Name:LIMBIC HEALTH INC
Entity Type:Organization
Organization Name:LIMBIC HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:218-371-6677
Mailing Address - Street 1:20019 COUNTY 50
Mailing Address - Street 2:
Mailing Address - City:PARK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56470-5371
Mailing Address - Country:US
Mailing Address - Phone:218-371-6677
Mailing Address - Fax:888-680-4314
Practice Address - Street 1:20019 COUNTY 50
Practice Address - Street 2:
Practice Address - City:PARK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56470-5371
Practice Address - Country:US
Practice Address - Phone:218-371-6677
Practice Address - Fax:888-680-4314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)