MILLE LACS HEALTH SYSTEM (NPI# 1326200411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326200411 |
| Entity Type | Organization |
| Organization Name | MILLE LACS HEALTH SYSTEM |
| Other Organization Name | MILLE LACS FAMILY HEALTH CENTER |
| Practice Address |
26362 370th Ave Hillman MN 56338-2349 |
| Mailing Address |
200 Elm St N Po Box A Onamia MN 56359-7901 |
| Practice Telephone | 3202773682 |
| Practice Fax Number | 3202773372 |
| Mailing Telephone | 3205323154 |
| Mailing Fax Number | 3205323111 |
| Enumeration Date | 2008-06-30 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| 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 | UCARE MINNESOTA | 115808 | 01 |
| MN | 630994100 | 05 |
| Other Name | Type Code |
|---|---|
| Mille Lacs Family Health Center | 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 |
| 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 |
| 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 |
26362 370TH AVE |
| City | HILLMAN |
| State | MN |
| Zip Code | 56338-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180973 | Lisa M Gall | Nurse Practitioner | 35294 Logan Ln, Hillman, MN 56338-2445 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903116 | Vrc Rehabilitation, LLC | Preventive Medicine | 23525 M 32 W, Hillman, MI 49746-9713 | 2020-08-18 |
| 1588272678 | Ellen J Zempel | Social Worker | 245 E 3rd St, Hillman, MI 49746-9213 | 2020-07-15 |
| 1548884661 | Yvonne Robinson | Massage Therapist | 21070 Pleasant Valley Rd, Hillman, MI 49746-9085 | 2020-06-04 |
| 1578045225 | Gwen Elizabeth Balog | Student in an Organized Health Care Education/Training Program | 21710 Behring Rd, Hillman, MI 49746-9103 | 2018-08-29 |
| 1144603705 | Thunder Bay Community Health Service, Inc | Dentist | 26042 M 32 S, Hillman, MI 49746-9788 | 2015-07-01 |
| 1538404660 | Ruth Chew | Obstetrics & Gynecology | 18600 Red Pine Dr, Hillman, MI 49746-7920 | 2012-11-29 |
| 1063788909 | Thunder Bay Community Health Service, Inc | Family Medicine | 245 E Third St, Hillman, MI 49746-9213 | 2012-03-26 |
| 1437426731 | Thunder Bay Community Health Service, Inc | Clinic/Center | 631 Caring Street, Hillman, MI 49746 | 2011-11-30 |
| 1821390873 | Jacek P Szydlo | Physical Therapy Assistant | 23509 Connon Rd, Hillman, MI 49746-9777 | 2010-11-24 |
| 1891925236 | Deborah Ann Hemgesberg | Social Worker | 19110 Red Pine Dr, Hillman, MI 49746-8018 | 2009-07-20 |
| Find all providers in HILLMAN | ||||
| 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.