MILLE LACS HEALTH SYSTEM (NPI# 1235689621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235689621 |
| Entity Type | Organization |
| Organization Name | MILLE LACS HEALTH SYSTEM |
| Practice Address |
200 Elm St N Onamia MN 56359-7901 |
| Mailing Address |
375 West Isle Street Isle MN 56342 |
| Practice Telephone | 3205323154 |
| Practice Fax Number | 3205323111 |
| Mailing Telephone | 3206763661 |
| Mailing Fax Number | 3206763672 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | MR. WILLIAM NELSON (CEO) |
| Authorized Official Telephone | 3205323154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 84 | MN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2280 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629231121 | Mille Lacs Health System | Psychologist | 27378 State Highway 18, Garrison, MN 56450-2127 | 2008-07-03 |
| 1497917587 | Mille Lacs Health System | Chiropractor | 375 W Isle St, Isle, MN 56342-2640 | 2008-06-30 |
| 1326200411 | Mille Lacs Health System | Family Medicine | 26362 370th Ave, Hillman, MN 56338-2349 | 2008-06-30 |
| 1417108531 | Mille Lacs Health System | Chiropractor | 1010 5th St Se, Milaca, MN 56353-1300 | 2008-10-07 |
| 1124282272 | Mille Lacs Health System | Social Worker | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-17 |
| 1275796773 | Mille Lacs Health System | Psychologist | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-03 |
| 1265695761 | Mille Lacs Health System | Medicare Defined Swing Bed Unit | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-03 |
| 1356504864 | Mille Lacs Health System | Skilled Nursing Facility | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-03 |
| 1578726311 | Mille Lacs Health System | Social Worker | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-02 |
| 1972763001 | Mille Lacs Health System | Psychiatric Unit | 200 Elm St N, Onamia, MN 56359-7901 | 2008-06-12 |
| Street Address |
200 ELM ST N |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226297 | David William Strobel | Family Medicine | 200 Elm St N, Onamia, MN 56359-7901 | 2005-12-21 |
| 1144857673 | Josh Kruize | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2020-03-25 |
| 1427519578 | Jennifer Franko Greer | Physical Therapist | 200 Elm St N, Onamia, MN 56359 | 2019-03-29 |
| 1841758935 | Corey Pieper | Psychologist | 200 Elm St N, Onamia, MN 56359-7901 | 2019-03-07 |
| 1821552134 | Bess Michelle Kuzma | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-31 |
| 1134693518 | Travis Ray Green | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-18 |
| 1356862700 | Jennifer Rae Will | Registered Nurse | 200 Elm St N, Onamia, MN 56359-7901 | 2017-07-06 |
| 1447606868 | Kari Collett | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-0807 | 2016-05-05 |
| 1427415389 | Beth Twite | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2016-01-24 |
| 1790151413 | Tammy Hall | Registered Nurse | 200 Elm St N, Onamia, MN 56359-7901 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| 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.