IRON RANGE BEHAVIORAL SERVICES, LLC – Community/Behavioral Health Agency, NPI 1851900484

IRON RANGE BEHAVIORAL SERVICES, LLC is a healthcare provider. based in Hermantown, Minnesota. specializing in Community/Behavioral Health Agency. The NPI Number for IRON RANGE BEHAVIORAL SERVICES, LLC is 1851900484

Main info

Organization
Name
IRON RANGE BEHAVIORAL SERVICES, LLC
NPI
1851900484
Phone
(218) 341-8523
Address
4962 ANDERSON RD
Authorized Official
MR. MARK F WICKER PRESIDENT
Enumeration Date
29 July 2020
Last Update Date
4 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for IRON RANGE BEHAVIORAL SERVICES, LLC

  • 4962 ANDERSON RD

    HERMANTOWN, MN 558111757

    Phone: (218) 341-8523

    Type: Mailing

  • 817 S 5TH AVE

    VIRGINIA, MN 557922804

    Phone: (218) 341-8523

    Type: Location

  • PO BOX 236

    COTTON, MN 557240236

    Phone: (218) 341-8523

    Fax: (218) 212-3444

    Type: Mailing

  • 7711 RANDALL RD

    COTTON, MN 557248026

    Phone: (218) 341-8523

    Type: Mailing

  • 910 8TH ST S STE B

    VIRGINIA, MN 557923236

    Phone: (218) 748-8500

    Fax: (218) 748-8501

    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.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (77 days away).

Enrollment records

1

Earliest due date

2026-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210816001322OClinic/Group PracticeMN2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

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 55811)

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Reviews

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Frequently asked questions

Is there an official ID for IRON RANGE BEHAVIORAL SERVICES, LLC in U.S. healthcare records?
The official identifier for IRON RANGE BEHAVIORAL SERVICES, LLC is NPI 1851900484.
Is IRON RANGE BEHAVIORAL SERVICES, LLC shown as active in public data?
Registry records indicate IRON RANGE BEHAVIORAL SERVICES, LLC maintains an active NPI.
What area of care is associated with IRON RANGE BEHAVIORAL SERVICES, LLC?
IRON RANGE BEHAVIORAL SERVICES, LLC's record emphasizes Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where in Minnesota is IRON RANGE BEHAVIORAL SERVICES, LLC registered?
Use Hermantown, Minnesota as the headline location for IRON RANGE BEHAVIORAL SERVICES, LLC here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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