SEARS HOLDING (NPI# 1609204379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609204379 |
| Entity Type | Organization |
| Organization Name | SEARS HOLDING |
| Practice Address |
215 N Central Ave Duluth MN 55807-2402 |
| Practice Telephone | 2186249305 |
| Practice Fax Number | 2186240447 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | MR. RICHARD OLSON (STAFF PHARMACIST) |
| Authorized Official Telephone | 2816249305 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
112847 | MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639532054 | Sears Holding | Pharmacy | 106 Freedom Ln, Waterville, OH 43566-1118 | 2016-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sears Holding, LLC | 12325 Oracle Blvd, Suite 120, Colorado Springs, CO 80921 |
| Washington State Corporations | SEARS HOLDINGS MANAGEMENT CORPORATION | 3333 Beverly Rd, Hoffman Est, IL 60179-0001 |
| Connecticut Business Registrations | SEARS HOLDINGS MANAGEMENT CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| New York State Corporations | SEARS HOLDINGS MANAGEMENT CORPORATION | 28 Liberty St., New York, Ny 10005 |
| Street Address |
215 N CENTRAL AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771337 | Greg Mcgillivray | Chiropractor | 215 N Central Ave, Duluth, MN 55807-2402 | 2005-06-27 |
| 1740634443 | Richard Olson | Pharmacist | 215 N Central Ave, Duluth, MN 55807-2402 | 2016-04-19 |
| 1598128241 | Holly Lynn Ahnen | Pharmacist | 215 N Central Ave, Duluth, MN 55807-2402 | 2016-03-31 |
| 1427411081 | Solomon Siaw Baah | Pharmacist | 215 N Central Ave, Duluth, MN 55807-2402 | 2016-03-31 |
| 1619340437 | Access Music Therapy, LLC | Music Therapist | 215 N Central Ave, Duluth, MN 55807-2402 | 2015-11-02 |
| 1598026759 | Susan Duckworth | Social Worker | 215 N Central Ave, Duluth, MN 55807-2402 | 2012-06-05 |
| 1922039924 | K Mart Corp | Durable Medical Equipment & Medical Supplies | 215 N Central Ave, Duluth, MN 55807-2402 | 2006-07-06 |
| 1538198494 | Maryanne Quackenbush | Social Worker | 215 N Central Ave, Duluth, MN 55807-2402 | 2006-07-02 |
| 1164429163 | Lake Superior Physical Therapy Inc | Physical Therapist | 215 N Central Ave, 14b, Duluth, MN 55807-2402 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.