PREMIER HEALTH OF COON RAPIDS, INC


Address: 3340 Northdale Blvd Nw, Suite 120, Coon Rapids, MN 55448-1622
Phone: 7632705828

PREMIER HEALTH OF COON RAPIDS, INC (NPI# 1073915732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073915732
Entity Type Organization
Organization Name PREMIER HEALTH OF COON RAPIDS, INC
Practice Address 3340 Northdale Blvd Nw
Suite 120
Coon Rapids
MN 55448-1622
Practice Telephone 7632705828
Practice Fax Number 7632705849
Mailing Telephone 7632705828
Mailing Fax Number 7632705849
Enumeration Date 2014-09-24
Last Update Date 2020-09-15
Authorized Official Name DR. KELSEY CHMIEL (CO-OWNER)
Authorized Official Telephone 7632705828
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 5855 MN Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1386068658 05

Office Location

Street Address 3340 NORTHDALE BLVD NW
SUITE 120
City COON RAPIDS
State MN
Zip Code 55448-1622

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447741152 Modern Sisters Home Healthcare Home Health 1852 131st Ln Nw, Coon Rapids, MN 55448 2018-05-29
1003345463 Sarah Benepe Occupational Therapy Assistant 764 107th Ln Nw, Coon Rapids, MN 55448 2017-06-08
1700310299 Orthodontics Specialist of Minnesota P.l.l.c. Dentist 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 2017-04-12
1528459906 Shane R Fisher Registered Nurse 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 2015-02-06
1912395419 Mn Dentistry, PC Dentist 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 2015-01-06
1215297536 Daniel Beau Ryan Ellis Chiropractor 9 125 Lane Nw, Coon Rapids, MN 55448 2012-05-21
1306142344 At Home Health Care Inc. Home Health 1601 128th Lane Nw, Coon Rapids, MN 55448 2011-02-09
1245428317 Cassandra Joice Carney Massage Therapist 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 2007-10-14
1982826434 Merry Heart Home Care Inc Home Health 3248 131st Avenue Nw, Coon Rapids, MN 55448 2007-05-03
1659416196 James T Sturm Emergency Medicine 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 2007-02-21
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063054302 Moe Chiro Tres Pllc Chiropractor 1835 Gateway Dr Ste 104, Coon Rapids, MN 55448-4513 2019-10-08
1669840567 Due North Wellness Center Pllc Chiropractor 1820 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4755 2015-09-09
1215329362 Ryan W. Nolte, D.c., P.a. Chiropractor 199 Coon Rapids Blvd Nw Ste 315, Coon Rapids, MN 55433-5861 2015-02-26
1184015083 Sarah Elizabeth Thon Haggbloom Chiropractor 11417 Hanson Blvd Nw Ste 101, Coon Rapids, MN 55433 2015-02-12
1134526502 Riley Sowle Chiropractor 1835 Gateway Dr., Suite 104, Coon Rapids, MN 55448-1469 2014-12-01
1609270206 Barton Stark Chiropractor 10006 University Ave Nw, Coon Rapids, MN 55448-6138 2014-10-10
1386068658 Kelsey Lyn Erickson-chmiel Chiropractor 3340 Northdale Blvd Nw Ste 120, Coon Rapids, MN 55448-1622 2014-02-07
1215297536 Daniel Beau Ryan Ellis Chiropractor 9 125 Lane Nw, Coon Rapids, MN 55448 2012-05-21
1841560109 Dillon Robert Sletten Chiropractor 9920 Foley Blvd Nw Suite 140, Coon Rapids, MN 55433 2012-01-04
1689807760 Lewis Chiropractic PC Chiropractor 120 6th Ave, Coon Rapids, IA 50058 2009-08-24
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City COON RAPIDS
Zip Code 55448

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Dataset Information

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.

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