MINNEAPOLIS VAMC (NPI# 1902851348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902851348 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS VAMC |
| Other Organization Name | HIBBING VA CBOC |
| Practice Address |
990 W 41st St Suite 5 Hibbing MN 55746-3045 |
| Mailing Address |
Po Box 94459 Cleveland OH 44101-4459 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hibbing VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
| Street Address |
990 W 41ST ST SUITE 5 |
| City | HIBBING |
| State | MN |
| Zip Code | 55746-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688203 | Beverly Coon | Registered Nurse | 990 W 41st St, Hibbing, MN 55746-3045 | 2017-09-26 |
| 1831616648 | Kristine Gieseke | Registered Nurse | 990 W 41st St, Hibbing, MN 55746-3045 | 2017-08-23 |
| 1396198339 | Brendan Scott Salo | Pharmacist | 990 W 41st St, Hibbing, MN 55746-3045 | 2016-07-14 |
| 1992163554 | Stephanie Koivisto | Nurse Practitioner | 990 W 41st St, Hibbing, MN 55746-3045 | 2016-02-10 |
| 1285072579 | Lori Broich | Social Worker | 990 W 41st St, Hibbing, MN 55746-3045 | 2013-06-07 |
| 1447541453 | Midwest Vision Centers, Inc | Optometrist | 990 W 41st St, Suite 54, Hibbing, MN 55746-3045 | 2011-04-25 |
| 1225349673 | Vista Eye Exam | Eyewear Supplier (Equipment, not the service) | 990 W 41st St, Irongate Plaza, Hibbing, MN 55746-3045 | 2010-06-30 |
| 1558477893 | Eric Saksa | Optometrist | 990 W 41st St, Suite 107, Hibbing, MN 55746-3045 | 2006-08-21 |
| 1922010529 | Midwest Optical & Contact Lens Center LLC | Eyewear Supplier (Equipment, not the service) | 990 W 41st St, Suite 107, Hibbing, MN 55746-3045 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1407809478 | Fargo Vamc | Clinic/Center | 1821 N Park St, Fergus Falls Va Outpatient Clinic, Fergus Falls, MN 56537-1247 | 2006-05-18 |
| 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.