WEST CENTRAL INTERNAL MEDICINE (NPI# 1750481958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750481958 |
| Entity Type | Organization |
| Organization Name | WEST CENTRAL INTERNAL MEDICINE |
| Other Organization Name | PRAIRIE MEDICAL ASSOCIATES |
| Practice Address |
24 E 7th St Morris MN 56267-1312 |
| Mailing Address |
24 E 7th St Po Box 410 Morris MN 56267-1312 |
| Practice Telephone | 3205894008 |
| Practice Fax Number | 3205894227 |
| Mailing Telephone | 3205894008 |
| Mailing Fax Number | 3205894227 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN F. STOCK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3205894008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5706872 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS CLINIC# | 30843 | 01 |
| MN | DMERC CLINIC # | 0836930001 | 01 |
| MN | BLUE CROSS CLINIC # | 3T172WE | 01 |
| MN | UCARE CLINIC # | 121703 | 01 |
| MN | RAILROAD MEDICARE # | CN5505 | 01 |
| Other Name | Type Code |
|---|---|
| Prairie Medical Associates | Doing Business As Name - Organization |
| Street Address |
24 E 7TH ST |
| City | MORRIS |
| State | MN |
| Zip Code | 56267-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437714 | Kelley Mikkelson | Nurse Practitioner | 24 E 7th St, Morris, MN 56267-1312 | 2019-06-28 |
| 1609354893 | Timothy Ryan Hovde | Emergency Medical Technician, Paramedic | 24 E 7th St, Morris, MN 56267-1312 | 2018-07-31 |
| 1396263208 | Kayli Jo Piechowski | Physician Assistant | 24 E 7th St, Morris, MN 56267-1312 | 2017-08-31 |
| 1053411280 | Prairie Surgicenter LLP | Clinic/Center | 24 E 7th St, Suite 100, Morris, MN 56267-1312 | 2006-09-25 |
| 1932207545 | John Frederick Stock | Internal Medicine | 24 E 7th St, Morris, MN 56267-1312 | 2006-09-20 |
| 1215040803 | Jerry Reed Hendel | Family Medicine | 24 E 7th St, Morris, MN 56267-1312 | 2006-08-16 |
| 1225083140 | Winmar Diagnostics North Central | Physiological Laboratory | 24 E 7th St, Ste 100, Morris, MN 56267-1312 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
| 1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
| 1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
| 1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
| 1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
| 1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
| 1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
| 1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
| Find all providers in zip 56267 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154595882 | Morris Audiology Inc. | Clinic/Center | 1802 Division St Ste 509, Morris, IL 60450-3107 | 2008-04-14 |
| 1417105552 | Stevens Community Medical Center Inc. | Clinic/Center | 400 E. 1st Street, Morris, MN 56267 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WEST CENTRAL INTERNAL MEDICINE.
| 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.