CARRIS HEALTH LLC (NPI# 1306359856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306359856 |
| Entity Type | Organization |
| Organization Name | CARRIS HEALTH LLC |
| Practice Address |
301 Becker Ave Sw Willmar MN 56201-3302 |
| Practice Telephone | 3202354543 |
| Practice Fax Number | 3202314971 |
| Mailing Telephone | 3202354543 |
| Mailing Fax Number | 3202314971 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Authorized Official Name | JACLYN R HINDERKS (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 3202314425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657150 | Carris Health LLC | Clinic/Center | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-04-02 |
| 1427684612 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 502 2nd St Sw Ste 1, Willmar, MN 56201-3365 | 2020-03-19 |
| 1578105219 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 520 S Sibley Ave, Litchfield, MN 55355-3030 | 2019-10-15 |
| 1124660865 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2019-10-15 |
| 1164064911 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 611 S Sibley Ave, Litchfield, MN 55355-3339 | 2019-10-14 |
| 1790243129 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 1100 E Broadway St, Redwood Falls, MN 56283-2247 | 2019-03-05 |
| 1720546153 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 1604 1st St S, Willmar, MN 56201-4243 | 2019-03-05 |
| 1184182511 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 600 Peterson Pkwy, New London, MN 56273-7823 | 2019-03-05 |
| 1598236408 | Carris Health LLC | Clinic/Center | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2018-12-17 |
| 1255844734 | Carris Health LLC | Skilled Nursing Facility | 1801 Willmar Ave Sw, Willmar, MN 56201-2882 | 2017-11-07 |
| Street Address |
301 BECKER AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1831798131 | Nathan Goracke | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-10-19 |
| 1063049955 | Amanda Marie Thompson | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-03-23 |
| 1144874157 | Megan J Shelton | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2019-07-29 |
| 1952887531 | Brittany Hattie Frank | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-07-17 |
| 1003323304 | Kaylene Nichole Hill | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-01-08 |
| 1023521572 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1003329574 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1134632680 | Carris Health LLC | Social Worker | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1689186207 | Alexandra Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518391259 | Divine Home Care, Inc. | Hospice Care, Community Based | 322 2nd St Sw, Willmar, MN 56201-3312 | 2013-08-29 |
| 1801930995 | Rice Memorial Hospital | Hospice Care, Community Based | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2007-02-20 |
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| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 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.