ALISA T MITSKOG, P.C. (NPI# 1184923179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184923179 |
| Entity Type | Organization |
| Organization Name | ALISA T MITSKOG, P.C. |
| Other Organization Name | MITSKOG CHIROPRACTIC CLINIC |
| Practice Address |
319 11th St N Wahpeton ND 58075-4111 |
| Mailing Address |
Po Box 1461 Wahpeton ND 58074-1461 |
| Practice Telephone | 7016426444 |
| Mailing Telephone | 7016426444 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | DR. ALISA T MITSKOG (PRESIDENT) |
| Authorized Official Telephone | 7016426444 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 500 | ND | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mitskog Chiropractic Clinic | Doing Business As Name - Organization |
| Street Address |
319 11TH ST N |
| City | WAHPETON |
| State | ND |
| Zip Code | 58075-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578598587 | Alisa T Mitskog | Chiropractor | 319 11th St N, Wahpeton, ND 58075-4111 | 2006-07-11 |
| 1427171636 | Valley Spine Center, Inc. | Chiropractor | 319 11th St N, Wahpeton, ND 58075-4111 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1538385844 | Michelle Catherine Stach | Physical Therapy Assistant | 1307 4 Ave North, Wahpeton, ND 58075 | 2007-04-17 |
| 1881717122 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 1348 15th Av N, Wahpeton, ND 58075 | 2007-04-10 |
| 1972626216 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 821 Western Rd, Wahpeton, ND 58075 | 2007-04-10 |
| 1700908589 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 348 14th St N, Wahpeton, ND 58075 | 2007-04-04 |
| 1275626053 | Richland County | Public Health or Welfare | 413 3rd Avenue North, Wahpeton, ND 58075 | 2006-10-02 |
| 1962503896 | Brian James Quamme | Dentist | 910 16th Ave N, Wahpeton, ND 58075 | 2006-09-25 |
| 1083720114 | Judith Kay Schmidt | Dentist | 2005 Woodland Drive, Wahpeton, ND 58075 | 2006-08-22 |
| 1891240354 | Concept Dentistry PC | Dentist | 1999 4th St N, Wahpeton, ND 58075 | 2016-08-24 |
| 1255704318 | Mandy Naumann | Physical Therapist | 332 2nd Ave N, Wahpeton, ND 58075 | 2015-11-10 |
| Find all providers in zip 58075 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
| 1316580343 | Moos Family Chiropractic LLC | Clinic/Center | 517 S 5th St, Bismarck, ND 58504-5702 | 2019-10-22 |
| 1679139323 | St Aloisius Hospital Inc | Clinic/Center | 61 Main Ave S, Fessenden, ND 58438-7101 | 2019-05-17 |
| 1225503972 | Central Dakota Forensic Nurse Examiners | Clinic/Center | 1929 N Washington St Ste W, Bismarck, ND 58501-1616 | 2018-10-09 |
| 1003399064 | Ideal Option, Pllc | Clinic/Center | 44 24th St E, Dickinson, ND 58601-6576 | 2018-09-14 |
| 1174001416 | Ideal Option, Pllc | Clinic/Center | 1260 W Villard St Unit 1, Dickinson, ND 58601-4848 | 2018-07-30 |
| 1376020396 | Ideal Option, Pllc | Clinic/Center | 3520 N Broadway, Minot, ND 58703-0513 | 2018-07-23 |
| 1518462894 | Ideal Option, Pllc | Clinic/Center | 316 2nd Ave W Ste 1, Williston, ND 58801-5218 | 2018-03-28 |
| 1720588171 | Ideal Option, Pllc | Clinic/Center | 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 | 2018-02-12 |
| 1093172827 | Terry N Braun Counseling LLC | Clinic/Center | 1042 14th Ave E Ste 210, West Fargo, ND 58078-3363 | 2016-01-25 |
| 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.