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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
802 STATE AVE NE |
City | WARROAD |
State | MN |
Zip Code | 56763 |
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 Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
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. |
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 |
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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.