RENVILLE COUNTY HOSPITAL & CLINICS (NPI# 1457313504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457313504 |
| Entity Type | Organization |
| Organization Name | RENVILLE COUNTY HOSPITAL & CLINICS |
| Other Organization Name | PRAIRIE FAMILY PRACTICE |
| Practice Address |
131 Birch Ave Hector MN 55342 |
| Mailing Address |
611 E Fairview Ave Olivia MN 56277-4213 |
| Practice Telephone | 3208486294 |
| Practice Fax Number | 3208482655 |
| Mailing Telephone | 3205233450 |
| Mailing Fax Number | 3205233490 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-01-06 |
| 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 | 407420100 | 05 | |
| MN | 814012000 | 05 | |
| MN | STATE LICENSE NUMBER | 1297 | 01 |
| Other Name | Type Code |
|---|---|
| Prairie Family Practice | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164484226 | Renville County Hospital & Clinics | Clinic/Center | 420 Main St, Renville, MN 56284 | 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 |
131 BIRCH AVE |
| City | HECTOR |
| State | MN |
| Zip Code | 55342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982908000 | Jack M. Fiedler, D.d.s.,p.a. | Dentist | 150 Greenwood Ave W, Box 547, Hector, MN 55342 | 2011-01-04 |
| 1720140437 | Jack Michael Fiedler | Dentist | 149 Main Street S, Box 547, Hector, MN 55342 | 2006-12-16 |
| 1770589657 | City of Hector | Ambulance | 340 Hwy 212, Hector, MN 55342 | 2005-06-24 |
| 1871726331 | Esthetic Family Dentistry PC | Clinic/Center | 150 Greenwood Ave, Hector, MN 55342 | 2009-09-01 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1477992238 | Westfield Dental Sleep Medicine Pa | Dentist | 149 Main Street South, Hector, MN 55342-0547 | 2013-06-14 |
| 1588788079 | Daniel H Menser | Dentist | 150 Greenwood Ave, Hector, MN 55342-0547 | 2007-03-19 |
| 1730145897 | Prairie View of Hector | Assisted Living Facility | 1010 Elm Ave E, Hector, MN 55342-4501 | 2006-04-25 |
| 1780177980 | Renville Health Services | Assisted Living Facility | 1010 Elm Ave E, Hector, MN 55342-4501 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1366088429 | Tyler Beauchesne | Physical Therapist | 3643 County Road 2, Hector, NY 14841-9709 | 2019-11-25 |
| 1831520295 | Margaret M Ehly | Speech-Language Pathologist | 5955 County Road 4, Hector, NY 14841-9646 | 2013-12-10 |
| 1225479140 | Kelly M Fitch | Registered Nurse | 4200 County Road 1, Hector, NY 14841-9653 | 2013-07-08 |
| 1427316256 | Megan Pierce | Registered Nurse | 3820 County Road 1, Hector, NY 14841-9647 | 2012-04-30 |
| 1013100890 | Russellville Holdings, LLC | General Practice | 11720 State Route 27, Hector, AR 72843 | 2007-08-24 |
| 1386702611 | Hector School | Local Education Agency (LEA) | 11520 Sr27, Hector, AR 72843 | 2006-12-06 |
| 1972693950 | Hector Pharmacy | Pharmacy | 11167 Sr 27, Hector, AR 72843 | 2006-10-13 |
| 1932150943 | Russellville Holdings LLC | Nurse Practitioner | 11720 Sr 27, Hector, AR 72843-8712 | 2006-05-14 |
| 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 |
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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.