STELLIS HEALTH, PA (NPI# 1013103050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013103050 |
| Entity Type | Organization |
| Organization Name | STELLIS HEALTH, PA |
| Other Organization Name | STELLIS HEALTH - MONTICELLO CLINIC |
| Practice Address |
1001 Hart Blvd Ste 100 Monticello MN 55362-8929 |
| Practice Telephone | 7632952921 |
| Practice Fax Number | 7632713810 |
| Mailing Telephone | 7632952921 |
| Mailing Fax Number | 7632713810 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | JASON S HALVORSON (PRESIDENT) |
| Authorized Official Telephone | 7632952921 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stellis Health - Monticello Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205022845 | Stellis Health, Pa | Clinic/Center | 11091 Jason Ave Ne, Albertville, MN 55301 | 2007-09-18 |
| 1184664674 | Stellis Health, Pa | Clinic/Center | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2006-06-07 |
| Street Address |
1001 HART BLVD STE 100 |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362-8929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940109 | Devanshu V. Kansara | Specialist | 1001 Hart Blvd Ste 100, Monticello Clinic, Monticello, MN 55362-8929 | 2005-05-24 |
| 1851934848 | Maura Romanshek | Family Medicine | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2019-10-22 |
| 1013499367 | Kathryn Ann Alvarez | Physician Assistant | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2018-09-04 |
| 1538514658 | Heidi Renae Nichol | Family Medicine | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2016-04-26 |
| 1437542016 | Mallory Lynn Gustin | Nurse Practitioner | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2015-03-06 |
| 1801202932 | Lynn Lampi | Nurse Practitioner | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2014-07-09 |
| 1477995272 | Kasy Lynn Omann | Nurse Practitioner | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2013-07-22 |
| 1528359452 | Abby R Labounty | Family Medicine | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2011-04-26 |
| 1952691313 | Bryan Mccoy Moritz | Physician Assistant | 1001 Hart Blvd Ste 100, Monticello, MN 55362 | 2011-04-19 |
| 1487656344 | Mark D Nelson | Podiatrist | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250782 | Foothills Academy, Inc | Clinic/Center | 80 Rolling Hills Blvd, Monticello, KY 42633-9005 | 2014-06-13 |
| 1558600874 | Centracare Health System-nr LLC | Clinic/Center | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2013-02-06 |
| 1154626661 | Monticello Podiatry LLC | Clinic/Center | 101 W Broadway St, Monticello, IN 47960-2110 | 2011-01-13 |
| 1043444805 | Ihc Health Services Inc | Clinic/Center | 380 W 100 N, Monticello, UT 84535-0308 | 2009-05-08 |
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| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
| 1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
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| 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.