OTTER TAIL WADENA COMMUNITY ACTION COUNCIL (NPI# 1831215128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831215128 |
| Entity Type | Organization |
| Organization Name | OTTER TAIL WADENA COMMUNITY ACTION COUNCIL |
| Practice Address |
200 1st Ave S Perham MN 56573-1445 |
| Mailing Address |
Po Box L New York Mills MN 56567-0372 |
| Practice Telephone | 2183463612 |
| Practice Fax Number | 2183463612 |
| Mailing Telephone | 2183852900 |
| Mailing Fax Number | 2183854544 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | MR. DAVIS LEINO-MILLS (EXEC. DIRECTOR) |
| Authorized Official Telephone | 2183852900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 587053400 | 05 |
| Street Address |
200 1ST AVE S |
| City | PERHAM |
| State | MN |
| Zip Code | 56573-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
| 1710206016 | Brooke Nicole Hamann | Dentist | 200 1st Ave S, Perham, MN 56573-1495 | 2010-05-26 |
| 1831301142 | Michael L Hamann Dds Pa | Dentist | 200 1st Ave S, Perham, MN 56573-1495 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
| 1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
| 1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
| 1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
| 1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
| 1194793562 | Richard W Masur | Emergency Medicine | 665 3rd St Sw, Perham, MN 56573-1108 | 2006-03-10 |
| Find all providers in zip 56573 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326572520 | Advocates for Reproductive Education | Clinic/Center | 424 James St, Brainerd, MN 56401-2989 | 2017-04-13 |
| 1437499019 | The Clinic LLC | Clinic/Center | 210 Jefferson St S, Wadena, MN 56482-1532 | 2013-02-19 |
| 1588939276 | Mahube-otwa Community Action Partnership | Clinic/Center | 119 Graystone Plz Ste 110, Detroit Lakes, MN 56501-3034 | 2012-03-14 |
| 1255462487 | Annex Teen Clinic | Clinic/Center | 5810 42nd Avenue North, Robbinsdale, MN 55422 | 2007-03-08 |
| 1457495327 | Diocese of St. Cloud | Clinic/Center | 305 7th Ave N Ste 100, Saint Cloud, MN 56303-3633 | 2007-02-16 |
| 1750451399 | Twin Cities Natural Family Planning Center | Clinic/Center | 69 Exchange St W # 154n, Saint Paul, MN 55102-1004 | 2006-11-09 |
| 1336237700 | Southwestern Minnesota Opportunity Council, Inc. | Clinic/Center | 909 4th Ave, Worthington, MN 56187-2326 | 2006-10-11 |
| 1194056994 | Minnesota Birth Center Inc. | Clinic/Center | 2606 Chicago Ave, Minneapolis, MN 55407-3706 | 2010-01-19 |
| 1780844183 | Natural Family Planning of The Brainerd Lakes Area Inc. | Clinic/Center | 523 N 3rd St, Brainerd, MN 56401-3054 | 2008-06-10 |
Please comment or provide details below to improve the information on OTTER TAIL WADENA COMMUNITY ACTION COUNCIL.
| 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.