RENVILLE COUNTY HOSPITAL & CLINICS (NPI# 1164484226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164484226 |
| Entity Type | Organization |
| Organization Name | RENVILLE COUNTY HOSPITAL & CLINICS |
| Other Organization Name | PRAIRIE FAMILY PRACTICE |
| Practice Address |
420 Main St Renville MN 56284 |
| Mailing Address |
611 E Fairview Ave Olivia MN 56277-4213 |
| Practice Telephone | 3203298395 |
| Practice Fax Number | 3203298397 |
| Mailing Telephone | 3205233450 |
| Mailing Fax Number | 3205233490 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-01-07 |
| Authorized Official Name | DAVID DUNN (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 3205231460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1297 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE LICENSE NUMBER | 1297 | 01 |
| MN | 010813800 | 05 | |
| MN | 013475000 | 05 |
| Other Name | Type Code |
|---|---|
| Prairie Family Practice | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457313504 | Renville County Hospital & Clinics | Clinic/Center | 131 Birch Ave, Hector, MN 55342 | 2006-04-04 |
| 1942276795 | Renville County Hospital & Clinics | Clinic/Center | 600 E Park Ave, Olivia, MN 56277-1370 | 2006-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RENVILLE COUNTY HOSPITAL & CLINICS | 100 Healthy Way, Olivia, MN 56277-1117 |
| Street Address |
420 MAIN ST |
| City | RENVILLE |
| State | MN |
| Zip Code | 56284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104363829 | Stephanie Ashburn | Social Worker | 314 Colfax Ave Nw, Renville, MN 56284 | 2017-01-20 |
| 1396055976 | Heather Bickford | Dentist | 107 Dupont Ave Nw, Renville, MN 56284 | 2010-10-15 |
| 1194998849 | Jeremy Steven Hinderks | Chiropractor | 317 N Main Street, Renville, MN 56284 | 2008-04-02 |
| 1225234586 | Christopher Dean Lindquist | Dentist | 107 Dupont Ave. Nw, Renville, MN 56284 | 2007-06-25 |
| 1578579371 | Renville Ambulance Service, Inc | Ambulance | 115 E Park Ave, Renville, MN 56284 | 2006-08-01 |
| 1790193407 | Patricia Koerner | Dental Therapist | 107 Dupont Ave. Nw, Renville, MN 56284 | 2014-07-25 |
| 1073940771 | Hinderks Chiropractic, P.a. | Chiropractor | 317 N Main St., Renville, MN 56284 | 2013-09-26 |
| 1679853451 | Modern Dental Professionals, Mn PC | Dentist | 107 Dupont Ave Nw, Renville, MN 56284 | 2011-08-24 |
| 1609176049 | Wendie Lee Discher | Counselor | 316 Park Ave East, Renville, MN 56284-0001 | 2010-11-02 |
| Find all providers in zip 56284 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| 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.