MR. KURT DAVID HOLM (NPI# 1396158358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396158358 |
Entity Type | Individual |
Full Name | MR. KURT DAVID HOLM |
Credential | LADC |
Practice Address |
840 E Main St Perham MN 56573-1934 |
Practice Telephone | 2183466100 |
Practice Fax Number | 2183466112 |
Mailing Telephone | 2183466100 |
Mailing Fax Number | 2183466112 |
Enumeration Date | 2014-06-08 |
Last Update Date | 2014-06-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302032 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | LADC LICENSE | 302032 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417134370 | Kurt S Holm | Pharmacist | 201 E Bell St, Neenah, WI 54956-4992 | 2008-01-23 |
Street Address |
840 E MAIN ST |
City | PERHAM |
State | MN |
Zip Code | 56573-1934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134655913 | Elizabeth Nelson | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2017-05-11 |
1679960793 | John J Zajac | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2015-04-16 |
1801209697 | Rewind, Inc | Substance Abuse Rehabilitation Facility | 840 E Main St, Perham, MN 56573-1934 | 2014-06-09 |
1861805822 | Jenny Lou Snook | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2014-06-07 |
1992059984 | Carmen Ann Parks | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2012-10-30 |
1821354010 | James Albert Gray | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2012-04-02 |
1568678639 | Rewind, Inc. | Substance Abuse Rehabilitation Facility | 840 E Main St, Perham, MN 56573-1934 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
Find all providers in zip 56573 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134655913 | Elizabeth Nelson | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2017-05-11 |
1679960793 | John J Zajac | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2015-04-16 |
1861805822 | Jenny Lou Snook | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2014-06-07 |
1992059984 | Carmen Ann Parks | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2012-10-30 |
1821354010 | James Albert Gray | Counselor | 840 E Main St, Perham, MN 56573-1934 | 2012-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. KURT DAVID HOLM.
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.