HEALTHSTAT ONSITE CLINIC-MARVIN COMPANIES


Address: 802 State Ave Ne, Warroad, MN 56763
Phone: 2183864370

HEALTHSTAT ONSITE CLINIC-MARVIN COMPANIES (NPI# 1073997094) 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) 1073997094
Entity Type Organization
Organization Name HEALTHSTAT ONSITE CLINIC-MARVIN COMPANIES
Practice Address 802 State Ave Ne
Warroad
MN 56763
Mailing Address 4651 Charlotte Park Dr
Suite 300
Charlotte
NC 28217-1956
Practice Telephone 2183864370
Enumeration Date 2015-07-20
Last Update Date 2018-06-14
Authorized Official Name JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
Authorized Official Telephone 7049365546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 802 STATE AVE NE
City WARROAD
State MN
Zip Code 56763

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063779023 James R. Thompson Pharmacist 310 Lake St, Warroad, MN 56763 2012-04-16
1841463072 Northern Lights Family Dentistry,pc Clinic/Center 603 Emily Ave. Nw, Warroad, MN 56763 2008-04-09
1164564159 David Alan Verworn Chiropractor 203 State Ave S, Warroad, MN 56763 2007-02-13
1093875825 City of Warroad Ambulance 802 Cherne Drive Nw, Warroad, MN 56763 2006-12-11
1861562340 Roseau/warroad Eye Clinic, P.a. Optometrist 301 Lake Street Ne, Warroad, MN 56763 2006-11-09
1669875514 Roseau Warroad Eye Clinic Pa Optometrist 301 Lake Street, Warroad, MN 56763 2014-10-07
1225184450 Michael Ernest Thiele Dentist 301 State Ave Sw, Warroad, MN 56763-0490 2007-01-29
1497745400 Warroad Family Dentistry, Ltd Dentist 307 South State Ave, Warroad, MN 56763-0490 2005-10-21
1700882719 Lyle Richard Erickson Chiropractor 201 Lake St Nw, Suite G, Warroad, MN 56763-2116 2005-06-23
1316989817 Chiropractic Sport & Spinal Rehab Pa Chiropractor 201 Lake St Nw, Suite G, Warroad, MN 56763-2116 2006-06-11
Find all providers in zip 56763

Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821605874 Healthstat Health Center Allianz Preventive Medicine 5901 Golden Hills Dr, Golden Valley, MN 55416-1225 2020-09-24
1275931206 Healthstat On-site Clinic Watlow Winona Mn Preventive Medicine 1241 Bundy Blvd, Winona, MN 55987-4873 2014-12-08
1164769527 Miles Smith Snowden Preventive Medicine 3121 W 69th St, Apt 114, Edina, MN 55435-2559 2013-01-05
1629328299 Healthstat Arkansas/pace Ind.- Pti Preventive Medicine 310 Congress St. W, Maple Lake, MN 55358 2012-09-11
1144570714 Healthstat Arkansas/pace Ind.- St. Paul Preventive Medicine 3737 Lexington Ave. N, St. Paul, MN 55126 2012-09-11
1740418144 Linda Karen Miller Preventive Medicine 620 16th St Sw, Rochester, MN 55902-2154 2009-06-24
1033256706 Larry Ray Zobel Preventive Medicine 220 6w 08 3m Ctr, Saint Paul, MN 55144-0001 2007-01-31
1679673321 Gary B Johnson Preventive Medicine 5100 Gamble Dr. Suite 100, Mail Stop 31200a, Healthpartners West Clinic, St. Louis Park, MN 55416-1582 2006-09-23
1255317376 Michael N Goertz Preventive Medicine 401 Phalen Blvd - Ms 11503g, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 2005-12-20
1821074337 Robert J Gorman Preventive Medicine 5100 Gamble Dr Suite 100-mail Stop 31200a, Healthpartners West Clinic, St Louis Park, MN 55416-1582 2005-12-16
Find all providers with the same taxonomy

Competitor

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City WARROAD
Zip Code 56763

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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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