Club Recovery – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1023032703

Club Recovery is a healthcare provider. based in Edina, Minnesota. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. 10043993CDT (MN). The NPI Number for Club Recovery is 1023032703

Main info

Organization
Name
Club Recovery
NPI
1023032703
Phone
(952) 926-2526
Address
6550 YORK AVE S
Authorized Official
MR. ORRIN R. TIETZ ADMINISTRATIVE DIRECTOR B.D.
Enumeration Date
27 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Club Recovery

  • 6550, York Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 620

    EDINA, MN 554352347

    Phone: (952) 926-2526

    Fax: (952) 926-6791

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Reviews

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Frequently asked questions

What NPI should I save for Club Recovery?
Save NPI 1023032703 if you need a stable reference for Club Recovery.
Does this profile mean Club Recovery is currently active?
Yes — Club Recovery appears active in the national provider directory.
Does Club Recovery list a primary specialty?
If you are matching referrals, note Substance Use Disorder Rehabilitation Clinic/Center for Club Recovery. Clinical services aligned with this taxonomy classification.
Where does public data place Club Recovery?
The snapshot lists Edina, Minnesota for Club Recovery; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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