MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP (NPI# 1588939276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588939276 |
| Entity Type | Organization |
| Organization Name | MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP |
| Other Organization Name | MAHUBE-OTWA CAP FAMILY HEALTH |
| Practice Address |
119 Graystone Plz Ste 110 Detroit Lakes MN 56501-3034 |
| Mailing Address |
Po Box 747 1125 West River Road Detroit Lakes MN 56502-0747 |
| Practice Telephone | 2188471385 |
| Practice Fax Number | 2188471388 |
| Mailing Telephone | 2188471385 |
| Mailing Fax Number | 2188471388 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | ELIZABETH KUOPPALA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2188471385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mahube Community Council, Inc. | Former Legal Business Name - Organization |
| Mahube-Otwa CAP Family Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285910596 | Mahube-otwa Community Action Partnership | In Home Supportive Care | 1125 W River Rd, Detroit Lakes, MN 56501-2722 | 2011-11-01 |
| Street Address |
119 GRAYSTONE PLZ STE 110 |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326572520 | Advocates for Reproductive Education | Clinic/Center | 424 James St, Brainerd, MN 56401-2989 | 2017-04-13 |
| 1437499019 | The Clinic LLC | Clinic/Center | 210 Jefferson St S, Wadena, MN 56482-1532 | 2013-02-19 |
| 1255462487 | Annex Teen Clinic | Clinic/Center | 5810 42nd Avenue North, Robbinsdale, MN 55422 | 2007-03-08 |
| 1457495327 | Diocese of St. Cloud | Clinic/Center | 305 7th Ave N Ste 100, Saint Cloud, MN 56303-3633 | 2007-02-16 |
| 1750451399 | Twin Cities Natural Family Planning Center | Clinic/Center | 69 Exchange St W # 154n, Saint Paul, MN 55102-1004 | 2006-11-09 |
| 1336237700 | Southwestern Minnesota Opportunity Council, Inc. | Clinic/Center | 909 4th Ave, Worthington, MN 56187-2326 | 2006-10-11 |
| 1194056994 | Minnesota Birth Center Inc. | Clinic/Center | 2606 Chicago Ave, Minneapolis, MN 55407-3706 | 2010-01-19 |
| 1780844183 | Natural Family Planning of The Brainerd Lakes Area Inc. | Clinic/Center | 523 N 3rd St, Brainerd, MN 56401-3054 | 2008-06-10 |
| 1831215128 | Otter Tail Wadena Community Action Council | Clinic/Center | 200 1st Ave S, Perham, MN 56573-1445 | 2007-03-21 |
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP.
| 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.