INTERLACHEN LODGE OPERATED BY INTERLODGE – Community/Behavioral Health Agency, NPI 1427258599

INTERLACHEN LODGE OPERATED BY INTERLODGE is a healthcare provider. based in Minneapolis, Minnesota. specializing in Community/Behavioral Health Agency. The organization holds a License No. 1044976 (MN). The NPI Number for INTERLACHEN LODGE OPERATED BY INTERLODGE is 1427258599

Main info

Organization
Name
INTERLACHEN LODGE OPERATED BY INTERLODGE
NPI
1427258599
Phone
(612) 871-3320
Address
2419 NICOLLET AVE
Authorized Official
JOHN TREPP EXECUTIVE DIRECTOR
Enumeration Date
18 July 2007
Last Update Date
18 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for INTERLACHEN LODGE OPERATED BY INTERLODGE

  • 2419, Nicollet Avenue, Whittier, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554043450

    Phone: (612) 871-3320

    Fax: (612) 871-0432

    Type: Mailing

  • William Avenue, Edina, Hennepin County, Minnesota, 55436, United States

    EDINA, MN 554362126

    Phone: (952) 767-0360

    Fax: (952) 922-8892

    Type: Location

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.

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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.

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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 55404)

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Reviews

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Frequently asked questions

Can I use this page to confirm INTERLACHEN LODGE OPERATED BY INTERLODGE's NPI?
Yes. INTERLACHEN LODGE OPERATED BY INTERLODGE is listed with NPI 1427258599 in the public NPI dataset.
Is INTERLACHEN LODGE OPERATED BY INTERLODGE listed as active for patients and plans?
The listing shows INTERLACHEN LODGE OPERATED BY INTERLODGE as active in the NPI system.
What taxonomy line describes INTERLACHEN LODGE OPERATED BY INTERLODGE?
For research purposes, treat INTERLACHEN LODGE OPERATED BY INTERLODGE as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
Where is INTERLACHEN LODGE OPERATED BY INTERLODGE based?
INTERLACHEN LODGE OPERATED BY INTERLODGE is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Why does INTERLACHEN LODGE OPERATED BY INTERLODGE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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