APPLETON AREA HEALTH (NPI# 1649333923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649333923 |
| Entity Type | Organization |
| Organization Name | APPLETON AREA HEALTH |
| Other Organization Name | APPLETON AREA HEALTH SERVICES |
| Practice Address |
30 S Behl St Appleton MN 56208-1616 |
| Practice Telephone | 3202892422 |
| Practice Fax Number | 3202891585 |
| Mailing Telephone | 3202892422 |
| Mailing Fax Number | 3202891585 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | JACOB WILLIAM REDEPENNING (CFO) |
| Authorized Official Telephone | 3202898514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Appleton Area Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126673 | Appleton Area Health | Clinic/Center | 30 S. Behl St., Appleton, MN 56208 | 2006-05-31 |
| 1558424838 | Appleton Area Health | Skilled Nursing Facility | 30 S Behl St, Appleton, MN 56208-1616 | 2006-12-18 |
| 1336214774 | Appleton Area Health | Home Health | 30 S Behl St, Appleton, MN 56208-1616 | 2006-11-21 |
| 1578590626 | Appleton Area Health | General Acute Care Hospital | 30 S Behl St, Appleton, MN 56208-1616 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | APPLETON AREA HEALTH SERVICES | 30 S Behl St, Appleton, MN 56208-1616 |
| Street Address |
30 S BEHL ST |
| City | APPLETON |
| State | MN |
| Zip Code | 56208-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629024823 | Deborah S Colon | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2006-05-26 |
| 1689297343 | Jordan Rae Halvorson | Physical Therapist | 30 S Behl St, Appleton, MN 56208-1616 | 2020-05-28 |
| 1063059798 | Emily Nadolny | Occupational Therapist | 30 S Behl St, Appleton, MN 56208-1616 | 2019-12-02 |
| 1265997340 | Penny M Hormann | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2019-02-04 |
| 1083108815 | Elizabeth Charles | Midwife | 30 S Behl St, Appleton, MN 56208-1616 | 2018-06-15 |
| 1083064109 | Michela Lambert Mazard | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2016-06-20 |
| 1710242300 | Jana Marie Lilyerd | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2012-07-10 |
| 1447526652 | Swachetan Singh Bajwa | General Practice | 30 S Behl St, Appleton, MN 56208-1616 | 2012-04-02 |
| 1558424838 | Appleton Area Health | Skilled Nursing Facility | 30 S Behl St, Appleton, MN 56208-1616 | 2006-12-18 |
| 1336214774 | Appleton Area Health | Home Health | 30 S Behl St, Appleton, MN 56208-1616 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126673 | Appleton Area Health | Clinic/Center | 30 S. Behl St., Appleton, MN 56208 | 2006-05-31 |
| 1982776894 | City of Appleton | Ambulance | 323 W. Schlieman Ave., Appleton, MN 56208-1299 | 2006-11-15 |
| 1619976495 | Liebe Drug Inc | Pharmacy | 145 N Miles St, Appleton, MN 56208-1316 | 2005-07-14 |
| 1720462377 | Jessica Frederiksen | Pharmacist | 145 N Miles St, Appleton, MN 56208-1316 | 2015-07-14 |
| 1255747812 | Lewis Family Drug LLC | Pharmacy | 145 N Miles St, Appleton, MN 56208-1316 | 2014-07-03 |
| 1477780914 | Conroy Eye Care, Pa | Optometrist | 229 N Miles St, Appleton, MN 56208-1318 | 2009-06-11 |
| 1992826507 | Kevin L. Skjei | Dentist | 32 S Behl St, Appleton, MN 56208-1616 | 2007-04-02 |
| 1497115232 | Appleton Dental Care, P.a. | Clinic/Center | 32 S Behl St, Appleton, MN 56208-1616 | 2016-03-06 |
| 1861550014 | Olive Barth | Technician | 390 240th Ave Nw, Appleton, MN 56208-1831 | 2006-12-04 |
| 1386864254 | Hany L Elkaramany | Internal Medicine | 445 S Munsterman St, Appleton, MN 56208-2608 | 2007-04-26 |
| Find all providers in zip 56208 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817620 | Affinity Residential Care LLC | Nursing Facility/Intermediate Care Facility | 9213 Elliot Ave S, Bloomington, MN 55420-3851 | 2019-08-22 |
| 1548703929 | Lynda Duoseke Abagi | Nursing Facility/Intermediate Care Facility | 661 Eagle Ridge Rd, Woodbury, MN 55125-1461 | 2016-12-02 |
| 1972947851 | Villa At Osseo LLC | Nursing Facility/Intermediate Care Facility | 501 2nd Street Ne, Osseo, MN 55369-1603 | 2013-04-23 |
| 1790060838 | Stonehaven Assisted Living Inc. | Nursing Facility/Intermediate Care Facility | 8783 2nd Street South, Brookston, MN 55711-0284 | 2011-10-20 |
| 1770863375 | Walker Thompson Hill, LLC | Nursing Facility/Intermediate Care Facility | One Thompson Avenue West, West St. Paul, MN 55118-3100 | 2011-08-26 |
| 1497995203 | Kinder Care Homecare Services | Nursing Facility/Intermediate Care Facility | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-03-06 |
| 1609011170 | St. Francis Health Care System Inc | Nursing Facility/Intermediate Care Facility | 1591 Woodlynn Ave Unit 1, Maplewood, MN 55109-5709 | 2008-12-11 |
| 1154580793 | Sunrise To Sunset Adult Day Services Inc. | Nursing Facility/Intermediate Care Facility | 3001 W Arrowhead Rd, Duluth, MN 55811-4232 | 2008-06-09 |
| 1861672198 | Harmony Living Health Care Services | Nursing Facility/Intermediate Care Facility | 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 | 2007-11-03 |
| 1841409836 | Williams, Inc. | Nursing Facility/Intermediate Care Facility | 2500 Pillsbury Ave S, Minneapolis, MN 55404-4201 | 2007-05-22 |
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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.