OCCUPATIONAL MEDICINE CLINIC


Address: 325 33rd Ave N, Suite 110, Saint Cloud, MN 56303-3041
Phone: 3202513666

OCCUPATIONAL MEDICINE CLINIC (NPI# 1609134832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609134832
Entity Type Organization
Organization Name OCCUPATIONAL MEDICINE CLINIC
Practice Address 325 33rd Ave N
Suite 110
Saint Cloud
MN 56303-3041
Practice Telephone 3202513666
Mailing Telephone 3202513666
Enumeration Date 2012-04-25
Last Update Date 2012-04-25
Authorized Official Name DAVID MICHAEL VAN NOSTRAND (OWNER)
Authorized Official Telephone 3202513666
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
16374 MN Ambulatory Health Care Facilities

Office Location

Street Address 325 33RD AVE N
SUITE 110
City SAINT CLOUD
State MN
Zip Code 56303-3041

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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City SAINT CLOUD
Zip Code 56303

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Dataset Information

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.

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