BST ALEXANDRIA LLC (NPI# 1003465147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003465147 |
| Entity Type | Organization |
| Organization Name | BST ALEXANDRIA LLC |
| Practice Address |
6600 State Highway 29 S Alexandria MN 56308-6196 |
| Mailing Address |
500 Cross St Big Stone City SD 57216-8237 |
| Practice Telephone | 3207638888 |
| Practice Fax Number | 3202007478 |
| Mailing Telephone | 6055411140 |
| Mailing Fax Number | 6055410109 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | LISA SIMONTON (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6055411140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
6600 STATE HIGHWAY 29 S |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-6196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932303526 | Hamid Reza Abbasi | Neurological Surgery | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2007-06-14 |
| 1528425923 | Tara Holman | Licensed Practical Nurse | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2016-01-15 |
| 1023417185 | Kristina Gray | Massage Therapist | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2014-08-14 |
| 1043448459 | Nicholas Doeling | Physical Therapist | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1194363523 | Frederic Wixson | Clinic/Center | 417 E Windsor Ave, Alexandria, VA 22301-1227 | 2019-12-17 |
| 1568839249 | Ashton Physical Therapy Center | Clinic/Center | 5510 Cherokee Ave Ste 250, Alexandria, VA 22312-2320 | 2015-08-28 |
| 1265724421 | Lori P. Alexander, Mspt, LLC | Clinic/Center | 3805 Sulgrave Dr, Alexandria, VA 22309-2623 | 2011-05-06 |
| 1649434119 | Sunshine Physical Therapy PC | Clinic/Center | 6408 Grovedale Dr, Suite 203, Alexandria, VA 22310-2595 | 2008-07-14 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1700850401 | Miller Physical Therapy Inc | Clinic/Center | 3912 Parliament Dr, Alexandria, LA 71303-3015 | 2006-02-17 |
| 1730536525 | Nova Sports and Spine Physical Therapy | Clinic/Center | 7724 Hayfield Rd, Alexandria, VA 22315-4052 | 2016-05-21 |
| 1093127581 | Inova | Clinic/Center | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2014-06-02 |
| 1518399039 | Tricia Ashton PC | Clinic/Center | 5510 Cherokee Ave, Suite 250, Alexandria, VA 22312-2320 | 2013-08-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on BST ALEXANDRIA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.