PAYNESVILLE AREA HOSPITAL DISTRICT (NPI# 1821202359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821202359 |
| Entity Type | Organization |
| Organization Name | PAYNESVILLE AREA HOSPITAL DISTRICT |
| Other Organization Name | GREEN LAKE MEDICAL CLINIC |
| Practice Address |
300 Highway 23 Suite 4 Spicer MN 56288-4607 |
| Practice Telephone | 3207965555 |
| Practice Fax Number | 3207965558 |
| Mailing Telephone | 3207965555 |
| Mailing Fax Number | 3207965558 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | BOBBE TEIGEN (CEO) |
| Authorized Official Telephone | 3202433767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GREEN LAKE MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750339818 | Paynesville Area Hospital District | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312 | 2006-05-04 |
| 1639137987 | Paynesville Area Hospital District | Clinic/Center | 645 Lake Ave S, Paynesville, MN 56362-1736 | 2006-05-03 |
| 1265490510 | Paynesville Area Hospital District | Assisted Living Facility | 701 Stearns Ave, Paynesville, MN 56362-1271 | 2006-05-03 |
| 1720046071 | Paynesville Area Hospital District | Clinic/Center | 150 Central Ave N, Watkins, MN 55389-4505 | 2006-05-03 |
| 1811955164 | Paynesville Area Hospital District | Assisted Living Facility | 311 Washburne Ave, Paynesville, MN 56362-1658 | 2006-05-03 |
| 1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
| 1528026648 | Paynesville Area Hospital District | Skilled Nursing Facility | 410 Luella St, Watkins, MN 55389-1012 | 2006-05-01 |
| 1811955859 | Paynesville Area Hospital District | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2006-05-01 |
| 1912965260 | Paynesville Area Hospital District | Skilled Nursing Facility | 200 W 1st St, Paynesville, MN 56362-1445 | 2006-05-03 |
| 1902864259 | Paynesville Area Hospital District | Clinic/Center | 200 W 1st St, Paynesville, MN 56362-1445 | 2006-05-03 |
| Street Address |
300 HIGHWAY 23 SUITE 4 |
| City | SPICER |
| State | MN |
| Zip Code | 56288-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962557587 | Mark Arnold Bloomquist | Dentist | 315 Access Dr, Spicer, MN 56288 | 2007-01-24 |
| 1689723942 | Susan Kay Zanin | Psychologist | 15130 57th St Ne, Spicer, MN 56288 | 2007-01-09 |
| 1548706369 | Rebecca Ann Reichard | Counselor | 215 Milky Way Street South, Cosmos, MN 56288 | 2017-01-18 |
| 1922263441 | Focus Chiropractic & Wellness | Clinic/Center | 180 Progress Way, Spicer, MN 56288-0053 | 2008-07-24 |
| 1639791932 | Peterson Wellness Clinic P.a. | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
| 1083236384 | Zachary Leland Peterson | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
| 1326660622 | Brooke Sara Peterson | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
| 1841686359 | Kirby M. Johnson, D.d.s., LLC | Clinic/Center | 301 Highway 23, Suite 2, Spicer, MN 56288-8001 | 2015-04-10 |
| 1033553169 | Katie Marie Ross | Pharmacist | 5260 128th Ave Ne, Spicer, MN 56288-8419 | 2013-04-19 |
| 1114114774 | Joanne Louise Thurston | Marriage & Family Therapist | 9196 Lake Ave S, Spicer, MN 56288-8619 | 2007-09-27 |
| Find all providers in zip 56288 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952555146 | County of Meeker | Clinic/Center | 740 Parker Ave W, Dassel, MN 55325-1024 | 2008-11-14 |
| 1750339818 | Paynesville Area Hospital District | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312 | 2006-05-04 |
| 1720046071 | Paynesville Area Hospital District | Clinic/Center | 150 Central Ave N, Watkins, MN 55389-4505 | 2006-05-03 |
| 1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
| 1811955859 | Paynesville Area Hospital District | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2006-05-01 |
| 1083221816 | County of Meeker | Clinic/Center | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2020-09-25 |
| 1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
| 1912330663 | Centracare Health-paynesville LLC | Clinic/Center | 308 5th Ave S, Suite 100, Cold Spring, MN 56320-2341 | 2013-08-16 |
| 1093152423 | Deer River Healthcare Center, Inc. | Clinic/Center | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2013-05-24 |
| 1881954147 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-21 |
| 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.