COUNTY OF KANABEC (NPI# 1528031390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528031390 |
Entity Type | Organization |
Organization Name | COUNTY OF KANABEC |
Other Organization Name | WELIA HEALTH |
Practice Address |
301 Highway 65 S Mora MN 55051-1899 |
Practice Telephone | 3206791212 |
Practice Fax Number | 3202253345 |
Mailing Telephone | 3206791212 |
Mailing Fax Number | 3202253345 |
Enumeration Date | 2006-02-10 |
Last Update Date | 2019-09-12 |
Authorized Official Name | MR. RANDY WILLIAM ULSETH (CHEIF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3202253315 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | UCARE | 300121 | 01 |
MN | MEDICA | 50 06114 | 01 |
MN | 108745200 | 05 | |
MN | HEALTH PARTNER | 1469 | 01 |
MN | BLUE CROSS | 1760HKA | 01 |
Other Name | Type Code |
---|---|
FirstLight Health System | Doing Business As Name - Organization |
Welia Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
1841761871 | County of Kanabec | Pharmacy | 301 Highway 65 S, Mora, MN 55051-1899 | 2018-12-17 |
1578014486 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2016-10-17 |
1407276264 | County of Kanabec | Pharmacy | 1425 Main St N, Pine City, MN 55063-6026 | 2014-04-21 |
1073821468 | County of Kanabec | Clinic/Center | 620 Sandy Ln, Hinckley, MN 55037-8381 | 2010-09-20 |
1336457720 | County of Kanabec | Clinic/Center | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-09-20 |
1972811362 | County of Kanabec | Clinic/Center | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-09-20 |
1669424198 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Ste. 127, Mora, MN 55051-1624 | 2006-05-16 |
1760432595 | County of Kanabec | Hospice Care, Community Based | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2006-05-11 |
1578537023 | County of Kanabec | Medicare Defined Swing Bed Unit | 301 Highway 65 S, Mora, MN 55051-1899 | 2006-02-13 |
Street Address |
301 HIGHWAY 65 S |
City | MORA |
State | MN |
Zip Code | 55051-1899 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437153947 | Brent Jason Thompson | Pharmacist | 301 Highway 65 S, Mora, MN 55051-1899 | 2005-06-13 |
1427666320 | Kelsey Kay Abraham | Physician Assistant | 301 Highway 65 S, Mora, MN 55051-1899 | 2020-07-16 |
1841808029 | Dustin Peter Voss | Physician Assistant | 301 Highway 65 S, Mora, MN 55051-1899 | 2020-07-14 |
1427678390 | Alicia Smith | Pharmacist | 301 Highway 65 S, Mora, MN 55051-1899 | 2020-04-21 |
1760029318 | Juris Andris Zelenko | Physical Therapist | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-12-03 |
1093351363 | Danielle Gilbertson | Social Worker | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-11-21 |
1487299293 | Jennifer Lynn Peterson | Social Worker | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-11-15 |
1710520549 | Thomas Stearns | Physician Assistant | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-10-24 |
1548818370 | Lindsey Kayte Wagenbach | Nurse Practitioner | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-08-26 |
1588210496 | Shannon Marie Koski | Nurse Practitioner | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
Find all providers in zip 55051 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
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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.