STELLIS HEALTH, PA (NPI# 1205022845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205022845 |
| Entity Type | Organization |
| Organization Name | STELLIS HEALTH, PA |
| Other Organization Name | STELLIS HEALTH - ALBERTVILLE-ST. MICHAEL CLINIC |
| Practice Address |
11091 Jason Ave Ne Albertville MN 55301 |
| Practice Telephone | 7636848300 |
| Mailing Telephone | 7636848300 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | JASON S HALVORSON (PRESIDENT) |
| Authorized Official Telephone | 7632952921 |
| Authorized Official Credential | MD |
| 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 |
| Other Name | Type Code |
|---|---|
| Stellis Health - Albertville-St. Michael Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013103050 | Stellis Health, Pa | Clinic/Center | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2007-09-24 |
| 1184664674 | Stellis Health, Pa | Clinic/Center | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2006-06-07 |
| Street Address |
11091 JASON AVE NE |
| City | ALBERTVILLE |
| State | MN |
| Zip Code | 55301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881614766 | Jeffrey T Kvant | Physician Assistant | 11091 Jason Ave Ne, Albertville, MN 55301-4699 | 2006-07-20 |
| 1144764150 | Alexis Hydukovich | Physical Therapist | 11091 Jason Ave Ne, Suite 2, Albertville, MN 55301-4699 | 2016-12-09 |
| 1417316936 | Heather Lynn Pokrzywinski | Physician Assistant | 11091 Jason Ave Ne, Albertville, MN 55301-4699 | 2016-02-11 |
| 1366826752 | Pdg, Pa | Clinic/Center | 11091 Jason Ave Ne, Suite 3, Albertville, MN 55301-4699 | 2015-07-15 |
| 1437392586 | Megan Tiffany Otis | Family Medicine | 11091 Jason Ave Ne, Albertville, MN 55301-4699 | 2009-04-18 |
| 1285804336 | Albertville - St. Michael Clinic | Non-Pharmacy Dispensing Site | 11091 Jason Ave Ne, Albertville, MN 55301-4699 | 2008-03-05 |
| 1235311853 | Now Care Medical Centers | Clinic/Center | 11091 Jason Ave Ne, Albertville, MN 55301 | 2007-12-05 |
| 1366639593 | Nathania Kathleen Hammel | Family Medicine | 11091 Jason Ave Ne, Albertville, MN 55301-4699 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127373 | Shanda Gwen Gaunt | Speech-Language Pathologist | 11091 Jasen Ave Ne Suite 2, Courage Kenny Rehabilitation Institute Albertville Part, Albertville, MN 55301 | 2016-11-30 |
| 1124478110 | Chiropractic and Wellness Center of Albertville | Chiropractor | 5676 Lacentre Ave., Suite 204, Albertville, MN 55301 | 2016-06-21 |
| 1184073157 | Keith Henry Diers | Physical Therapist | 11091 Jason Ave Nw, Suite 2, Albertville, MN 55301 | 2016-06-09 |
| 1154613479 | Francis Ogeto Raini | Nurse Practitioner | 7046 Lambert Lane Ne, Albertville, MN 55301 | 2011-05-04 |
| 1770802019 | Chiropractic and Wellness Center of Albertville Pllc | Chiropractor | 5676 Lacentre Avenue Ne, Suite 202, Albertville, MN 55301 | 2010-05-26 |
| 1508054339 | Andrea Lynn Anderson | Pharmacist | 5698 Lacentre Ave Ne, Albertville, MN 55301 | 2007-10-05 |
| 1902080518 | Heidi Sawdey | Chiropractor | 5676 Lacentre Avenue, Albertville, MN 55301-0000 | 2007-12-19 |
| 1275863508 | Lori Hunt | Community Health Worker | 10482 64th Way, Albertville, MN 55301-3517 | 2010-01-08 |
| 1194984070 | Brian Carl Peterson | Physical Therapy Assistant | 10439 64th Ln Ne, Albertville, MN 55301-3533 | 2008-06-05 |
| 1639241300 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 5698 La Centre Ave, Albertville, MN 55301-3972 | 2006-11-15 |
| Find all providers in zip 55301 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 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 | ALBERTVILLE |
| Zip Code | 55301 |
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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.