SHARED MEDICAL TECHNOLOGY, INC (NPI# 1679528194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679528194 |
| Entity Type | Organization |
| Organization Name | SHARED MEDICAL TECHNOLOGY, INC |
| Practice Address |
1720 Hwy 59 Se Thief River Falls MN 56701 |
| Mailing Address |
202 W Newton St Rice Lake WI 54868-1627 |
| Practice Telephone | 2186814747 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CRAIG ZADRA (CEO) |
| Authorized Official Telephone | 7152346518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHARED MEDICAL TECHNOLOGY, INC. | 202 W Newton St, Rice Lake, WI 54868-1627 |
| Street Address |
1720 HWY 59 SE |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124045737 | Christopher J Borgen | Optometrist | 1720 Hwy 59 Se, Suite 1 Box 505, Thief River Falls, MN 56701 | 2006-07-17 |
| 1093732612 | Eric M Tjelle | Optometrist | 1720 Hwy 59 Se, Suite 1 Box 505, Thief River Falls, MN 56701 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| Taxonomy Code | 2471N0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Nuclear Medicine Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770927832 | Kaisa J Winckler | Radiologic Technologist | 228 Terrace Dr Sw, Willmar, MN 56201-5228 | 2013-04-19 |
| 1679649826 | Michelle Marie Briggs Conway | Radiologic Technologist | 225 Smith Ave N, Suite 100, Saint Paul, MN 55102-2534 | 2006-11-28 |
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
Please comment or provide details below to improve the information on SHARED MEDICAL TECHNOLOGY, INC.
| 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.