Minnesota Indian Primary Residential Treatment Center, Inc.
NPI 1578621579 · Substance Abuse Rehabilitation Facility · Sawyer, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minnesota Indian Primary Residential Treatment Center, Inc. is a Substance Abuse Rehabilitation Facility organization in Sawyer, MN (NPI 1578621579).
Provider details
- NPI number
- 1578621579
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Mallery II, Business Manager(218) 879-6731
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
19 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
- Mash-Ka-Wisen Treatment Center
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Minnesota Indian Primary Residential Treatment Center, Inc.'s NPI number?
- Minnesota Indian Primary Residential Treatment Center, Inc.'s National Provider Identifier (NPI) is 1578621579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Indian Primary Residential Treatment Center, Inc.?
- Minnesota Indian Primary Residential Treatment Center, Inc. is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Minnesota Indian Primary Residential Treatment Center, Inc. located?
- Minnesota Indian Primary Residential Treatment Center, Inc.'s practice location on file with NPPES is 1150 Mission Rd, Sawyer, MN 55780-0066.
- What is Minnesota Indian Primary Residential Treatment Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Minnesota Indian Primary Residential Treatment Center, Inc. is (218) 879-6731.
- Does Minnesota Indian Primary Residential Treatment Center, Inc. accept Medicare?
- Minnesota Indian Primary Residential Treatment Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Minnesota Indian Primary Residential Treatment Center, Inc.?
- The authorized official listed on Minnesota Indian Primary Residential Treatment Center, Inc.'s NPPES record is James Mallery II, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Indian Primary Residential Treatment Center, Inc.'s NPI active?
- Yes — Minnesota Indian Primary Residential Treatment Center, Inc.'s NPI (1578621579) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.