PIPESTONE COUNTY MEDICAL CENTER (NPI# 1073576906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073576906 |
| Entity Type | Organization |
| Organization Name | PIPESTONE COUNTY MEDICAL CENTER |
| Other Organization Name | PIPESTONE FAMILY CLINIC |
| Practice Address |
920 4th Ave Sw Pipestone MN 56164-1455 |
| Practice Telephone | 5078255700 |
| Practice Fax Number | 5078254752 |
| Mailing Telephone | 5078255700 |
| Mailing Fax Number | 5078254752 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | MR. BRADLEY BURRIS (HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 5078255811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2569527 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2569527 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA STATE LICENSE | 2569527 | 01 |
| MN | 149723500 | 05 |
| Other Name | Type Code |
|---|---|
| Pipestone Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447300587 | Pipestone County Medical Center | General Acute Care Hospital | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2007-01-11 |
| 1043386956 | Pipestone County Medical Center | General Acute Care Hospital | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2006-11-24 |
| 1407962335 | Pipestone County Medical Center | Hospice, Inpatient | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2006-08-22 |
| 1598752032 | Pipestone County Medical Center | Durable Medical Equipment & Medical Supplies | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2005-09-30 |
| 1598751240 | Pipestone County Medical Center | General Acute Care Hospital | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2005-09-27 |
| 1821084658 | Pipestone County Medical Center | Home Health | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2005-09-27 |
| 1124014881 | Pipestone County Medical Center | General Acute Care Hospital | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2005-09-27 |
| Street Address |
920 4TH AVE SW |
| City | PIPESTONE |
| State | MN |
| Zip Code | 56164-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699738559 | Bruce W Kocourek | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-10 |
| 1285047498 | Pipestone County Medical Center Avera | Orthopaedic Surgery | 920 4th Ave Sw, Suite 200, Pipestone, MN 56164-1455 | 2014-06-05 |
| 1275946485 | Pipestone County Medical Center Avera | Obstetrics & Gynecology | 920 4th Ave Sw, Suite 210, Pipestone, MN 56164-1455 | 2014-06-05 |
| 1326238478 | Myles F Zephier | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2007-07-25 |
| 1689722027 | Heidi M Thoreson | Physician Assistant | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2007-01-08 |
| 1649234170 | Larry D. Christensen | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-13 |
| 1306800842 | Michael L. Lastine | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-13 |
| 1841253747 | Cindy A. Sash | Physician Assistant | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-11 |
| 1124081047 | Kalangi Theodore Devaraj | Surgery | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336408798 | Roberta Marlene Stangeland | Registered Nurse | 609 1/2 2nd St Sw, Pipestone, MN 56164 | 2012-05-04 |
| 1144399981 | William Howard Olson | Dentist | 101 2nd St Se, Pipestone, MN 56164 | 2006-11-07 |
| 1174604607 | Cmsp Inc | Pharmacy | 802 8th Ave Se, Pipestone, MN 56164 | 2006-10-18 |
| 1568565802 | James Horgan | Psychologist | 1016 8th Ave Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1871696112 | Jarolyn Johnson | Marriage & Family Therapist | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1609837350 | Michael E Tadlock | Nurse Anesthetist, Certified Registered | 916 4th Ave. Sw, Pipestone, MN 56164 | 2006-03-31 |
| 1275636540 | Morris Patzlaff | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1093818379 | Rebecca Wiersma | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1669763611 | Amy Goering Fry | Marriage & Family Therapist | 1016 8th Ave Sw # 85, Pipestone, MN 56164-1018 | 2011-04-26 |
| 1104399633 | Ashley Whipkey | Social Worker | 1016 8th Ave Sw, Pipestone, MN 56164-1018 | 2019-01-08 |
| Find all providers in zip 56164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699738559 | Bruce W Kocourek | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-10 |
| 1811308380 | Dustin Stewart | Family Medicine | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2014-05-18 |
| 1326238478 | Myles F Zephier | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2007-07-25 |
| 1649234170 | Larry D. Christensen | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-13 |
| 1306800842 | Michael L. Lastine | Family Medicine | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
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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.