OrganizationActive
Minnesota Specialty Health System Cambridge
NPI 1073892774 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cambridge, MN
Provider details
- NPI number
- 1073892774
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lori Zook, Controller(651) 431-3691
- License
- 804294-9-RS-N (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 804294-9-RS-N (MN)
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1425 E Rum River Dr S
Cambridge, MN 55008-2569
Phone: (651) 431-3691
Fax: (651) 431-7505
Street-level locationGet directions
Mailing address
Po Box 64979
Saint Paul, MN 55164-0979
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2011-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.