KANABEC-PINE COMMUNITY HEALTH (NPI# 1619374428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374428 |
| Entity Type | Organization |
| Organization Name | KANABEC-PINE COMMUNITY HEALTH |
| Practice Address |
905 Forest Ave E Suite 127 Mora MN 55051-1624 |
| Practice Telephone | 3206796330 |
| Practice Fax Number | 3206796333 |
| Mailing Telephone | 3206796330 |
| Mailing Fax Number | 3206796333 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | MS. WENDY L. THOMPSON (CHS ADMINISTRATOR) |
| Authorized Official Telephone | 3206796322 |
| Authorized Official Credential | DNP, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 331159 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 471555100 | 05 |
| Street Address |
905 FOREST AVE E SUITE 127 |
| City | MORA |
| State | MN |
| Zip Code | 55051-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245537 | Kanabec County Public Health | Public Health or Welfare | 905 Forest Ave E, Ste 127, Mora, MN 55051-1632 | 2005-06-15 |
| 1578014486 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2016-10-17 |
| 1518222355 | Karissa Ignaszewski | Registered Nurse | 905 Forest Ave E, Mora, MN 55051-1624 | 2012-07-09 |
| 1700047552 | Kanabec County Family Services | Community/Behavioral Health | 905 Forest Ave E, Suite 150, Mora, MN 55051-1624 | 2008-06-24 |
| 1396819108 | Kanabec County Family Services | Case Management | 905 Forest Ave E, Suite 150, Mora, MN 55051-1624 | 2006-11-20 |
| 1700957842 | Susan Dorothy Blom | Psychologist | 905 Forest Ave E, Suite 150, Mora, MN 55051-1624 | 2006-11-12 |
| 1588734669 | Linda Marie Walinski | Psychologist | 905 Forest Ave E, Ste 150, Mora, MN 55051 | 2006-11-08 |
| 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 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245537 | Kanabec County Public Health | Public Health or Welfare | 905 Forest Ave E, Ste 127, Mora, MN 55051-1632 | 2005-06-15 |
| 1578014486 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2016-10-17 |
| 1669424198 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Ste. 127, Mora, MN 55051-1624 | 2006-05-16 |
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|---|---|---|---|---|
| 1861090649 | Total Compliance Solutions, Inc. | Public Health or Welfare | 40 Main St S, Hutchinson, MN 55350-2505 | 2020-10-13 |
| 1972008175 | Tiptop Interpreters LLC | Public Health or Welfare | 17211 Encina Path, Farmington, MN 55024-7332 | 2018-03-28 |
| 1528575149 | East Side Neighborhood Services | Public Health or Welfare | 1700 2nd St Ne, Minneapolis, MN 55413-1139 | 2018-01-04 |
| 1962914333 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne Ste 100, Minneapolis, MN 55413-2648 | 2017-10-25 |
| 1861849978 | County of Pine | Public Health or Welfare | 315 Main St S Ste 200, Pine City, MN 55063-1646 | 2016-05-18 |
| 1780043836 | N and N Interpreters Compmay | Public Health or Welfare | 1535 Comstock Ln N, Plymouth, MN 55447-2870 | 2016-02-17 |
| 1548628860 | Elaine Mae Jackson | Public Health or Welfare | 426 1st Ave, Two Harbors, MN 55616-1614 | 2016-02-01 |
| 1831564285 | Global Language Services LLC | Public Health or Welfare | 2731 Pillsbury Ave S Apt 207, Minneapolis, MN 55408-1591 | 2015-12-10 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1225417223 | Pillsbury United Communities | Public Health or Welfare | 3501 Chicago Ave, Minneapolis, MN 55407-2109 | 2015-05-22 |
| 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.