HEALTHCARE CAMPUS IMAGING ONE, LLC (NPI# 1659397784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659397784 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE CAMPUS IMAGING ONE, LLC |
| Other Organization Name | IMAGING ONE |
| Practice Address |
200 State Ave Faribault MN 55021-6339 |
| Mailing Address |
200 State Ave P.o. Box 392 Faribault MN 55021-6339 |
| Practice Telephone | 5073324870 |
| Practice Fax Number | 5073324729 |
| Mailing Telephone | 5073324870 |
| Mailing Fax Number | 5073324729 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK A JUSTIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5073324731 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Imaging One | Other Name - Individual/Organization |
| Street Address |
200 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529485 | Charles Richard Boyle | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2006-02-28 |
| 1922535178 | Allina Health System | Clinic/Center | 200 State Ave, Faribault, MN 55021-6339 | 2017-05-18 |
| 1457806507 | Jennie Torola | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2016-08-18 |
| 1518321488 | Sarah Edwards | Social Worker | 200 State Ave, Faribault, MN 55021-6339 | 2016-04-07 |
| 1457726853 | Allina Health System | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2015-12-10 |
| 1346647013 | Michael Jeffrey Muehlenbein | Registered Nurse | 200 State Ave, Faribault, MN 55021-6339 | 2014-11-24 |
| 1275947293 | Elizabeth Fetzer | Obstetrics & Gynecology | 200 State Ave, Faribault, MN 55021 | 2014-06-18 |
| 1154741577 | Allina Health System | General Acute Care Hospital | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| 1063832475 | Allina Health System | Anesthesiology | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| 1073933495 | Allina Health System | Hospice Care, Community Based | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417494196 | Smart Choice Mri, LLC | Clinic/Center | 13000 Technology Dr Ste 100, Eden Prairie, MN 55344-3606 | 2017-01-19 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1205205069 | Midwest Imaging LLP | Clinic/Center | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2015-09-22 |
| 1346652609 | Northwest Mri Center | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2014-05-21 |
| 1861811333 | Woodbury Mri, LLC | Clinic/Center | 6053 Hudson Rd Ste 140, Woodbury, MN 55125-1022 | 2014-04-14 |
| 1285050211 | Mai Spine Center P.a. | Clinic/Center | 485 Arundel St # 102, Saint Paul, MN 55103-1931 | 2014-03-14 |
| 1073953451 | Twin Cities Diagnostic Center, LLC. | Clinic/Center | 7570 Wayzata Boulevard, Golden Valley, MN 55426 | 2013-06-28 |
| 1073819918 | Minnetonka Imaging Mri, Inc. | Clinic/Center | 6053 Hudson Rd Ste 357, Woodbury, MN 55125-1031 | 2011-02-09 |
| 1922272673 | Physicians First Choice Diagnostics Center | Clinic/Center | 735 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-14 |
| 1528269669 | Diagnostic Solutions | Clinic/Center | 33289 Forest Blvd, Stacy, MN 55079-4530 | 2007-05-29 |
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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.