ESSENTIA HEALTH VIRGINIA, LLC (NPI# 1881144970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881144970 |
Entity Type | Organization |
Organization Name | ESSENTIA HEALTH VIRGINIA, LLC |
Other Organization Name | ESSENTIA HEALTH INTERNATIONAL FALLS CLINIC |
Practice Address |
2501 Keenan Dr International Falls MN 56649-2181 |
Practice Telephone | 2182839431 |
Mailing Telephone | 2182839431 |
Enumeration Date | 2016-10-12 |
Last Update Date | 2019-01-16 |
Authorized Official Name | STEVEN FELTMAN (CFO) |
Authorized Official Telephone | 2187428662 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Essentia Health International Falls Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962440362 | Essentia Health Virginia, LLC | Clinic/Center | 300 W Conan St, Ely, MN 55731-1145 | 2006-06-04 |
1538107594 | Essentia Health Virginia, LLC | Clinic/Center | 71 South Dr, Babbitt, MN 55706-3702 | 2006-06-03 |
1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
1083617120 | Essentia Health Virginia, LLC | General Acute Care Hospital | 901 9th St N, Virginia, MN 55792-2325 | 2005-05-23 |
1326598418 | Essentia Health Virginia, LLC | Clinic/Center | 300 W Conan St, Ely, MN 55731-1145 | 2016-10-12 |
1326595646 | Essentia Health Virginia, LLC | Clinic/Center | 71 South Dr, Babbitt, MN 55706-1232 | 2016-09-02 |
1396748034 | Essentia Health Virginia, LLC | Skilled Nursing Facility | 901 9th St N, Virginia, MN 55792-2348 | 2005-05-26 |
1114920857 | Essentia Health Virginia, LLC | Rehabilitation Unit | 901 9th St N, Virginia, MN 55792-2348 | 2005-05-26 |
Street Address |
2501 KEENAN DR |
City | INTERNATIONAL FALLS |
State | MN |
Zip Code | 56649-2181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
1689053704 | Jacelyn Paige Davidson | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2015-05-21 |
1477967685 | Elizabeth Lessard | Nurse Practitioner | 2501 Keenan Dr, Essentia Health International Falls, International Falls, MN 56649-2181 | 2014-06-16 |
1336584218 | Emily Michelle Nicholson | Physician Assistant | 2501 Keenan Dr, Rainy Lake Medical Center, International Falls, MN 56649-2181 | 2013-05-06 |
1063705689 | Darci Leigh Pelland | Nurse Practitioner | 2501 Keenan Dr, Rainy Lake Medical Center Clinic, International Falls, MN 56649-2181 | 2011-05-17 |
1881821619 | Tim Allen Smith | Psychiatry & Neurology | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2009-06-19 |
1932365640 | Tara B Tomczak | Pharmacist | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2008-08-01 |
1245393719 | Elizabeth Kathleen Marchuk | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-18 |
1992865935 | Alan Marc Gorden | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-11 |
1558438671 | Jon Blair Marchuk | Surgery | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-11-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
Find all providers in zip 56649 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194237990 | International Falls Memorial Hospital Association | Clinic/Center | 1400 Highway 71, International Falls, MN 56649-2154 | 2017-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
Find all providers with the same taxonomy |
City | INTERNATIONAL FALLS |
Zip Code | 56649 |
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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.