NORTHWESTERN HEALTH SCIENCES UNIVERSITY (NPI# 1124103544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124103544 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN HEALTH SCIENCES UNIVERSITY |
| Practice Address |
2501 W 84th St Bloomington MN 55431-1602 |
| Mailing Address |
2501 West 84th Street Bloomington MN 55431-1599 |
| Practice Telephone | 9528884777 |
| Practice Fax Number | 9528867590 |
| Mailing Telephone | 9528884777 |
| Mailing Fax Number | 9528867590 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | DR. JOHN B WOLFE JR. (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9528884777 |
| Authorized Official Credential | D.C.,J.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 7261471 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Northwestern Health Sciences University | 2501 West 84th Street, Bloomington, Minnesota 55431 |
| System for Award Management (SAM) Entities | NORTHWESTERN HEALTH SCIENCES UNIVERSITY | 2501 W 84th St, Bloomington, MN 55431-1602 |
| Colorado Business Entities | Northwestern Health Sciences University | 2501 West 84th Street, Bloomington, MN 55431 |
| Street Address |
2501 W 84TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487682274 | Stacy Marie Boone-vikingson | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2006-06-29 |
| 1942778097 | The Sweere Clinic LLC | Clinic/Center | 2501 W 84th St, Bloomington, MN 55431-1602 | 2018-11-07 |
| 1649788233 | Jordan Jace Knowlton-key | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2018-01-17 |
| 1891207429 | Jason Joseph Calva | Acupuncturist | 2501 W 84th St, Bloomington, MN 55431-1602 | 2017-11-05 |
| 1215472022 | Kellen Douglas Otte | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2017-01-03 |
| 1578012951 | Melissa E Macdonald | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2016-09-27 |
| 1053701896 | Elizabeth Rose Moos | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2015-02-02 |
| 1356767933 | Nancy J Erickson | Massage Therapist | 2501 W 84th St, Bloomington, MN 55431-1602 | 2014-03-06 |
| 1326462268 | Jeffrey Novak | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2014-02-12 |
| 1821434796 | Link Larson | Chiropractor | 2501 W 84th St, Bloomington, MN 55431-1602 | 2013-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164700 | Comprehensive Spine Care | Clinic/Center | 2499 W Cota Dr, Bloomington, IN 47403-4217 | 2005-09-15 |
| 1215090501 | Bloomington Lake Clinic, Ltd | Clinic/Center | 7901 Xerxes Ave S Ste 116, Bloomington, MN 55431-1200 | 2006-12-18 |
| 1275619389 | Group Health Plan Inc. | Clinic/Center | 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 | 2006-10-31 |
| 1629063797 | Pain Management Center of Southern Indiana, Inc. | Clinic/Center | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855162 | The Duluth Clinic Ltd | Clinic/Center | 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 | 2020-06-16 |
| 1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
| 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 | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on NORTHWESTERN HEALTH SCIENCES UNIVERSITY.
| 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.