HOLLY CHURCHILL (NPI# 1043684756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043684756 |
| Entity Type | Individual |
| Full Name | HOLLY CHURCHILL |
| Practice Address |
2524 Hannah Ave Nw Bemidji MN 56601-2110 |
| Practice Telephone | 2187607560 |
| Mailing Telephone | 2187607560 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R 161857-2 | MN | Nursing Service Providers |
| Street Address |
2524 HANNAH AVE NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306216486 | Sarah Gennes | Registered Nurse | 2524 Hannah Ave Nw, Bemidji, MN 56601-2110 | 2015-10-01 |
| 1710596887 | Kathryn Houg | Registered Nurse | 2524 Hannah Ave Nw, Bemidji, MN 56601-2110 | 2020-07-24 |
| 1629605621 | Bonnie Jo Wastweet | Registered Nurse | 2524 Hannah Ave Nw, Bemidji, MN 56601-2110 | 2020-03-27 |
| 1538531058 | Timothy Lively | Home Health | 2524 Hannah Ave Nw, Bemidji, MN 56601-2110 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306216486 | Sarah Gennes | Registered Nurse | 2524 Hannah Ave Nw, Bemidji, MN 56601-2110 | 2015-10-01 |
| 1487964136 | Kelly Siems | Registered Nurse | 21601 470th St, Bemidji, MN 56601-9495 | 2010-10-15 |
| 1710596887 | Kathryn Houg | Registered Nurse | 2524 Hannah Ave Nw, Bemidji, MN 56601-2110 | 2020-07-24 |
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|---|---|---|---|---|
| 1043825284 | Charity Care Inc Professional Service Corporation | Registered Nurse | 10909 Brittany Dr N, Champlin, MN 55316-3838 | 2020-09-14 |
| 1932712346 | Optimum Healthcare Services LLC | Registered Nurse | 8400 Normandale Lake Blvd Ste 920, Bloomington, MN 55437-3843 | 2020-08-25 |
| 1649880303 | Nasra Amin | Registered Nurse | 2511 N 4th St, Minneapolis, MN 55411-2122 | 2020-08-06 |
| 1699384131 | Amazing Home LLC | Registered Nurse | 3220 County Road 10 Ste 117, Brooklyn Ctr, MN 55429-3073 | 2020-07-30 |
| 1942822200 | Rose Moraa Oyaro | Registered Nurse | 8315 Garfield Ave S, Bloomington, MN 55420-2228 | 2020-05-09 |
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1629607361 | Chelsea Elizabeth Jessen | Registered Nurse | 1414 Laurel Ave Apt L334, Minneapolis, MN 55403-1263 | 2020-04-05 |
| 1467088781 | Angel Hearts Health Care Services LLC | Registered Nurse | 6509 76th Ave N, Brooklyn Park, MN 55428-1433 | 2020-03-18 |
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1285267484 | Joanna Shady | Registered Nurse | 60 Himango Rd, Esko, MN 55733-9523 | 2020-02-15 |
| 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.