CARRIS HEALTH LLC (NPI# 1134632680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134632680 |
| Entity Type | Organization |
| Organization Name | CARRIS HEALTH LLC |
| Practice Address |
301 Becker Ave Sw Willmar MN 56201-3302 |
| Practice Telephone | 3202354543 |
| Practice Fax Number | 3202314971 |
| Mailing Telephone | 3202354543 |
| Mailing Fax Number | 3202314971 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Authorized Official Name | JACLYN R HINDERKS (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 3202314425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657150 | Carris Health LLC | Clinic/Center | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-04-02 |
| 1427684612 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 502 2nd St Sw Ste 1, Willmar, MN 56201-3365 | 2020-03-19 |
| 1578105219 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 520 S Sibley Ave, Litchfield, MN 55355-3030 | 2019-10-15 |
| 1124660865 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2019-10-15 |
| 1164064911 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 611 S Sibley Ave, Litchfield, MN 55355-3339 | 2019-10-14 |
| 1790243129 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 1100 E Broadway St, Redwood Falls, MN 56283-2247 | 2019-03-05 |
| 1720546153 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 1604 1st St S, Willmar, MN 56201-4243 | 2019-03-05 |
| 1184182511 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 600 Peterson Pkwy, New London, MN 56273-7823 | 2019-03-05 |
| 1598236408 | Carris Health LLC | Clinic/Center | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2018-12-17 |
| 1255844734 | Carris Health LLC | Skilled Nursing Facility | 1801 Willmar Ave Sw, Willmar, MN 56201-2882 | 2017-11-07 |
| Street Address |
301 BECKER AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1831798131 | Nathan Goracke | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-10-19 |
| 1063049955 | Amanda Marie Thompson | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-03-23 |
| 1144874157 | Megan J Shelton | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2019-07-29 |
| 1952887531 | Brittany Hattie Frank | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-07-17 |
| 1003323304 | Kaylene Nichole Hill | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-01-08 |
| 1023521572 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1003329574 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1306359856 | Carris Health LLC | Hospice Care, Community Based | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1689186207 | Alexandra Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679505093 | Joseph Michael Mayland | Emergency Medicine | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-07-07 |
| 1265498430 | Scott Matthew Abrams | Emergency Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2006-04-25 |
| 1548222458 | Kenneth M Flowe | Emergency Medicine | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-04-05 |
| 1679542856 | William Michael Doyle | Emergency Medicine | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-03-17 |
| 1932174745 | Pao Vang | Emergency Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1366968448 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 5507 Chateau Rd Nw, Rochester, MN 55901-0136 | 2017-08-21 |
| 1205366713 | St Francis Regional Medical Center | Emergency Medicine | 1451 Adams St S, Shakopee, MN 55379-2697 | 2017-06-16 |
| 1568991883 | Renzhong Ran | Emergency Medicine | 800 E. 28th Street Mr#11112, Minneapolis, MN 55407 | 2017-06-09 |
| 1164957619 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 2317 Bemidji Ave N, Bemidji, MN 56601-2316 | 2017-04-21 |
| 1053843581 | Joshua Anthony Bailey | Emergency Medicine | 800 E 28th St # 1112, Minneapolis, MN 55407-3723 | 2017-04-03 |
| 1841739240 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 501 W Central Entrance, Duluth, MN 55811-5447 | 2017-02-17 |
| 1003364720 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 1963 Robert St S, Suite 200, West St Paul, MN 55118-3942 | 2016-09-12 |
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1083076681 | Kendra Elm | Emergency Medicine | 800 E 28th St # Mr 11122, Minneapolis, MN 55407-3799 | 2016-03-23 |
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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.