Provider Demographics
NPI:1184733032
Name:HEALTH DIMENSIONS REHABILITATION INC
Entity type:Organization
Organization Name:HEALTH DIMENSIONS REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ESSLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-689-5385
Mailing Address - Street 1:1994 E RUM RIVER DRIVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:55008
Mailing Address - Country:US
Mailing Address - Phone:763-689-5385
Mailing Address - Fax:763-689-5558
Practice Address - Street 1:1994 E RUM RIVER DRIVE SOUTH
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008
Practice Address - Country:US
Practice Address - Phone:763-689-5385
Practice Address - Fax:763-689-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN616055700Medicaid
ND57268Medicaid
WI41810700Medicaid
WI41810700Medicaid