Obaashing Treatment Center
NPI 1104412402 · Substance Abuse Rehabilitation Facility · Ponemah, MN
Obaashing Treatment Center is a Substance Abuse Rehabilitation Facility organization in Ponemah, MN (NPI 1104412402).
Provider details
- NPI number
- 1104412402
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charlene Andersen, Revenue Generation Director(218) 679-1320
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- Obaashing Treatment Center
Registry dates
- Enumerated
- 2020-12-21
- Last updated
- 2022-03-14
- Certified
- 2021-08-20
Frequently asked questions
- What is Obaashing Treatment Center's NPI number?
- Obaashing Treatment Center's National Provider Identifier (NPI) is 1104412402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Obaashing Treatment Center?
- Obaashing Treatment Center is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Obaashing Treatment Center located?
- Obaashing Treatment Center's practice location on file with NPPES is 27190 North Shore Rd, Ponemah, MN 56666.
- What is Obaashing Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Obaashing Treatment Center is (218) 679-3341.
- Who is the authorized official for Obaashing Treatment Center?
- The authorized official listed on Obaashing Treatment Center's NPPES record is Charlene Andersen, Revenue Generation Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Obaashing Treatment Center's NPI active?
- Yes — Obaashing Treatment Center's NPI (1104412402) is active in the NPPES registry as of the last update on 2022-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.