MILLE LACS HEALTH SYSTEM (NPI# 1275796773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275796773 |
| Entity Type | Organization |
| Organization Name | MILLE LACS HEALTH SYSTEM |
| Other Organization Name | MILLE LACS FAMILY CLINIC ONAMIA |
| Practice Address |
200 Elm St N Onamia MN 56359-7901 |
| Mailing Address |
200 Elm St N Po Box A Onamia MN 56359-7901 |
| Practice Telephone | 3205323154 |
| Practice Fax Number | 3205323111 |
| Mailing Telephone | 3205323154 |
| Mailing Fax Number | 3205323111 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | MR. JOHN W UNZEN (CFO) |
| Authorized Official Telephone | 3205322581 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLE LACS HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD MINNESOTA | 33523MI | 01 |
| MN | PREFERRED ONE | 1006091 | 01 |
| MN | MEDICA | 5012782 | 01 |
| MN | UCARE | 103185 | 01 |
| MN | HEALTH PARTNERS | 10719 | 01 |
| MN | 666353200 | 05 |
| Other Name | Type Code |
|---|---|
| Mille Lacs Family Clinic Onamia | Doing Business As Name - Organization |
| 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 |
| 1235689621 | Mille Lacs Health System | Chiropractor | 200 Elm St N, Onamia, MN 56359-7901 | 2016-10-10 |
| 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 |
| 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 |
| 1235689621 | Mille Lacs Health System | Chiropractor | 200 Elm St N, Onamia, MN 56359-7901 | 2016-10-10 |
| 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 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| 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.