COUNTY OF KANABEC (NPI# 1972811362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972811362 |
| Entity Type | Organization |
| Organization Name | COUNTY OF KANABEC |
| Other Organization Name | WELIA HEALTH MORA |
| Practice Address |
301 Highway 65 S Mora MN 55051-1899 |
| Practice Telephone | 3206791313 |
| Practice Fax Number | 3206749060 |
| Mailing Telephone | 3206791212 |
| Mailing Fax Number | 3202253345 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | RANDY W ULSETH (CEO) |
| Authorized Official Telephone | 3202253315 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF KANABEC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
346970 | MN | Ambulatory Health Care Facilities |
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FirstLight Mora | Doing Business As Name - Organization |
| Welia Health | Doing Business As Name - Organization |
| Welia Health Mora | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1841761871 | County of Kanabec | Pharmacy | 301 Highway 65 S, Mora, MN 55051-1899 | 2018-12-17 |
| 1578014486 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2016-10-17 |
| 1407276264 | County of Kanabec | Pharmacy | 1425 Main St N, Pine City, MN 55063-6026 | 2014-04-21 |
| 1073821468 | County of Kanabec | Clinic/Center | 620 Sandy Ln, Hinckley, MN 55037-8381 | 2010-09-20 |
| 1336457720 | County of Kanabec | Clinic/Center | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-09-20 |
| 1669424198 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Ste. 127, Mora, MN 55051-1624 | 2006-05-16 |
| 1760432595 | County of Kanabec | Hospice Care, Community Based | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2006-05-11 |
| 1578537023 | County of Kanabec | Medicare Defined Swing Bed Unit | 301 Highway 65 S, Mora, MN 55051-1899 | 2006-02-13 |
| 1528031390 | County of Kanabec | General Acute Care Hospital | 301 Highway 65 S, Mora, MN 55051-1899 | 2006-02-10 |
| Street Address |
301 HIGHWAY 65 S |
| City | MORA |
| State | MN |
| Zip Code | 55051-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153947 | Brent Jason Thompson | Pharmacist | 301 Highway 65 S, Mora, MN 55051-1899 | 2005-06-13 |
| 1427666320 | Kelsey Kay Abraham | Physician Assistant | 301 Highway 65 S, Mora, MN 55051-1899 | 2020-07-16 |
| 1841808029 | Dustin Peter Voss | Physician Assistant | 301 Highway 65 S, Mora, MN 55051-1899 | 2020-07-14 |
| 1427678390 | Alicia Smith | Pharmacist | 301 Highway 65 S, Mora, MN 55051-1899 | 2020-04-21 |
| 1760029318 | Juris Andris Zelenko | Physical Therapist | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-12-03 |
| 1093351363 | Danielle Gilbertson | Social Worker | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-11-21 |
| 1487299293 | Jennifer Lynn Peterson | Social Worker | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-11-15 |
| 1710520549 | Thomas Stearns | Physician Assistant | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-10-24 |
| 1548818370 | Lindsey Kayte Wagenbach | Nurse Practitioner | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-08-26 |
| 1588210496 | Shannon Marie Koski | Nurse Practitioner | 301 Highway 65 S, Mora, MN 55051-1899 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
| 1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
| 1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
| 1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
| 1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
| 1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
| Find all providers in zip 55051 | ||||
| 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 |
| 1821202359 | Paynesville Area Hospital District | Clinic/Center | 300 Highway 23, Suite 4, Spicer, MN 56288-4607 | 2007-05-10 |
| 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 |
| 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.