TIMOTH Y JOHN PETERSON


Address: St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520
Phone: 2186430345

TIMOTH Y JOHN PETERSON (NPI# 1174668081) 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) 1174668081
Entity Type Individual
Full Name TIMOTH Y JOHN PETERSON
Practice Address St. Francis Healthcare Campus
2400 St. Francis Drive
Breckenridge
MN 56520
Mailing Address 213 E Cecil Ave
Fergus Falls
MN 56537-1416
Practice Telephone 2186430345
Practice Fax Number 2186430853
Mailing Telephone 2187363507
Enumeration Date 2007-02-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
102006 MN Hospitals

Office Location

Street Address ST. FRANCIS HEALTHCARE CAMPUS
2400 ST. FRANCIS DRIVE
City BRECKENRIDGE
State MN
Zip Code 56520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831311349 Carrie Marie Voightman Occupational Therapist 1110 Hwy 75, Suite A, Breckenridge, MN 56520 2007-05-03
1063542371 Jan E Ketterling Psychologist 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 2007-03-06
1699859942 Gerald Dale Brudvik Dentist 430 Oak St., Breckenridge, MN 56520 2006-10-24
1881794642 Pamela Jean Thompson Social Worker 415 1/2 Nebraska Ave., Breckenridge, MN 56520 2006-09-22
1588600928 Robert C Eelkema Emergency Medicine 2400 St Francis Dr, Breckenridge, MN 56520 2006-06-22
1639162381 St. Francis Medical Center General Acute Care Hospital 2400 St. Francis Drive, Breckenridge, MN 56520 2005-08-29
1194158899 Randi Jo Resler Counselor 2400 St. Francis Drive, Breckenridge, MN 56520 2013-08-16
1194158006 Jennifer L Schalekamp Physical Therapist 430 5th St N, Breckenridge, MN 56520 2013-08-14
1912220229 Community Addiction Recovery Enterprises Clinic/Center 3850 200th Ave, Breckenridge, MN 56520 2010-03-02
1154521516 Laurie Jo Ann Kessler Counselor 2400 St. Francis Drive, Breckenridge, MN 56520 2007-07-23
Find all providers in zip 56520

Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639162381 St. Francis Medical Center General Acute Care Hospital 2400 St. Francis Drive, Breckenridge, MN 56520 2005-08-29
1891954574 St Francis Medical Center General Acute Care Hospital 2400 St Francis Dr, Breckenridge, MN 56520-1025 2008-06-06
1316023252 St Francis Medical Center General Acute Care Hospital 2400 St Francis Dr, Breckenridge, MN 56520-1025 2006-10-31
1003992967 St Francis Medical Center General Acute Care Hospital 2400 St Francis Dr, Breckenridge, MN 56520-1025 2006-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730565185 Eric Ray Watt General Acute Care Hospital 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 2015-08-08
1659618742 Madelia Com Hospital Inc. General Acute Care Hospital 621 W Nathan St, Lake Crystal, MN 56055-2116 2013-01-09
1932468683 Lakewood Health System General Acute Care Hospital 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 2012-05-15
1912121484 Ely Bloomenson Community Hospital & Nursing Home General Acute Care Hospital 328 W Conan Street, Ely, MN 55731-1198 2007-04-13
1295859411 Clearwater County Memorial Hospital General Acute Care Hospital 203 4th St. N.w., Bagley, MN 56621 2007-03-16
1487712493 Cook County Hospital District General Acute Care Hospital 515 5th Ave W, Grand Marais, MN 55604-3017 2006-12-04
1316014202 St Josephs Community Dental Clinic General Acute Care Hospital 205 Pleasant Ave S, Park Rapids, MN 56470-1434 2006-11-29
1053497214 County of Murray General Acute Care Hospital 2042 Juniper Ave, Slayton, MN 56172-1017 2006-10-31
1699879833 Unity Family Healthcare General Acute Care Hospital 300 3rd Ave, Albany, MN 56307-9363 2006-09-08
1124035282 Mayo Clinic Health System-southwest Minnesota Region General Acute Care Hospital 301 2nd Street Ne, New Prague, MN 56071 2006-08-02
Find all providers with the same taxonomy

Competitor

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City BRECKENRIDGE
Zip Code 56520

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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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