WELLNESS COOPERATIVE LLC (NPI# 1659512622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659512622 |
| Entity Type | Organization |
| Organization Name | WELLNESS COOPERATIVE LLC |
| Other Organization Name | GRANDAVE NATURAL MEDICINE |
| Practice Address |
976 Grand Ave. St. Paul MN 55105 |
| Practice Telephone | 6512920050 |
| Practice Fax Number | 6512921076 |
| Mailing Telephone | 6512920050 |
| Mailing Fax Number | 6512921076 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | DR. JOSHUA J HAGUE (OWNER) |
| Authorized Official Telephone | 6512920050 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4667 | MN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Grandave Natural Medicine | Former Legal Business Name - Organization |
| Street Address |
976 GRAND AVE. |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1942488424 | Point Acupuncture & Asian Medicine | Acupuncturist | 236 Cretin Ave South, St Paul, MN 55105 | 2008-02-06 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659827228 | Care Point Chiropractic, Pllc | Chiropractor | 1821 University Ave W, Suite S218, St. Paul, MN 55104 | 2016-09-01 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1255563227 | Mai Spine Center | Chiropractor | 485 Arundel St, Suite 102, St. Paul, MN 55103-1931 | 2009-08-10 |
| 1225213218 | Nicholas Nelson Hoxmeier | Chiropractor | 1497 White Bear Ave, St. Paul, MN 55106-2414 | 2008-01-08 |
| 1518146687 | Cascade Chiropractic P.C. | Chiropractor | 1390 W. 7th Street, St. Paul, MN 55102 | 2007-10-25 |
| 1649487240 | Sister Rosalind Gefre Schools & Clinic of Massage | Chiropractor | 2145 Ford Parkway, Ste 20, St. Paul, MN 55116 | 2007-05-16 |
| 1982774808 | Zachary Louis Kimble | Chiropractor | 1141 University Ave., St. Paul, MN 55104 | 2006-11-08 |
| 1770679540 | Patrick John Mcgrath | Chiropractor | 1154 Grand Avenue, St. Paul, MN 55105 | 2006-10-05 |
| 1417332784 | Jeremy L Schingen | Chiropractor | 395 White Bear Ave N, St. Paul, MN 55106 | 2015-07-28 |
| 1992864961 | Complete Chiropractic Health Services, P.a. | Chiropractor | 1526 Grand Ave, St. Paul, MN 55105 | 2006-12-06 |
| Find all providers in ST. PAUL | ||||
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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.