JACK V, LUNDBOHM INC (NPI# 1780822486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780822486 |
| Entity Type | Organization |
| Organization Name | JACK V, LUNDBOHM INC |
| Practice Address |
317 2nd St Nw Suite A Roseau MN 56751-1070 |
| Practice Telephone | 2184632992 |
| Practice Fax Number | 2184631229 |
| Mailing Telephone | 2184632992 |
| Mailing Fax Number | 2184631229 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Authorized Official Name | DR. JACK V LUNDBOHM (PRESIDENT) |
| Authorized Official Telephone | 2184632992 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1792 | MN | Ambulatory Health Care Facilities |
| Street Address |
317 2ND ST NW SUITE A |
| City | ROSEAU |
| State | MN |
| Zip Code | 56751-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739885 | David Simmons | Pharmacist | 715 Delmore Drive, Roseau, MN 56751 | 2017-02-22 |
| 1770841082 | Amber Rohde | Physical Therapist | 44371 350 St., Roseau, MN 56751 | 2012-04-25 |
| 1275632234 | Jack Victor Lundbohm | Chiropractor | 317 2nd St Nw Ste A, Roseau, MN 56751 | 2006-09-22 |
| 1558390336 | Marianne Renae Foldesi | Physician Assistant | 711 Delmore Drive, Roseau, MN 56751 | 2006-07-02 |
| 1871679456 | Roseau/warroad Eye Clinic, P.a. | Optometrist | 306 N Main, Roseau, MN 56751 | 2006-10-27 |
| 1194935619 | Ageless Care,inc | Home Health | 702 7th St Sw, Roseau, MN 56751-0000 | 2007-05-23 |
| 1235176033 | Lorris Galen Vatnsdal II | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-06-01 |
| 1336204536 | Lorris G. Vatnsdal, Ltd. | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-27 |
| 1164584322 | Cynthia Faye Drost-sandy | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-14 |
| 1952478489 | Robert Frank Larson | Dentist | 201 4th Ave Nw, Roseau, MN 56751-1033 | 2006-11-29 |
| Find all providers in zip 56751 | ||||
| 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 |
|---|---|---|---|---|
| 1770672289 | Altru Health System | Clinic/Center | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-10-12 |
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| 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 |
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| 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 | ||||
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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.