INFINITE HEALTH COLLABORATIVE, PA (NPI# 1730364191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730364191 |
| Entity Type | Organization |
| Organization Name | INFINITE HEALTH COLLABORATIVE, PA |
| Practice Address |
919 Northland Dr Princeton MN 55371-2172 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 7633896675 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125650 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | TROY SIMONSON (CEO) |
| Authorized Official Telephone | 9525125639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306226576 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1715 Tower Dr W, Suite 100, Stillwater, MN 55082-7583 | 2015-06-03 |
| 1568840916 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Suite 100, Hudson, WI 54016-7848 | 2015-05-18 |
| 1407249477 | Infinite Health Collaborative, Pa | Exclusive Provider Organization | 6754 Valley View Rd, Edina, MN 55439-1761 | 2015-03-14 |
| 1619051422 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 | 2006-10-25 |
| 1497837249 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2222 | 2006-10-20 |
| 1164474250 | Infinite Health Collaborative, Pa | Family Medicine | 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 | 2006-05-17 |
| 1568098226 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1830 Hanley Rd, Hudson, WI 54016-9368 | 2020-03-13 |
| 1265937213 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2018-03-29 |
| 1629576467 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-01-26 |
| 1730554098 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 310 Smith Ave N, Suite 330, Saint Paul, MN 55102-2393 | 2015-12-11 |
| Street Address |
919 NORTHLAND DR |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143688 | Clifford M Matushin | Internal Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-02-15 |
| 1063775260 | Robert K Brownawell | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2012-06-21 |
| 1003193509 | Nhat-anh Nguyen Ngo | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2011-11-11 |
| 1366671869 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 919 Northland Dr, Princeton, MN 55371-2172 | 2009-07-07 |
| 1821242017 | Fairview Clinics | Clinic/Center | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-11-14 |
| 1932367760 | Teresa Jean Duscher | Nurse Practitioner | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-05-29 |
| 1831388974 | Lisa M. Cinar | Pediatrics | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-10-15 |
| 1043413214 | Jeremy John Peterson | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-06-06 |
| 1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
| 1154355667 | Scott E Runde | Podiatrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234546 | Associated Retinal Consultants, LLC | Durable Medical Equipment & Medical Supplies | 100 Canal Pointe Blvd Ste 100, Princeton, NJ 08540-7123 | 2020-04-24 |
| 1871157644 | Evercare Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 21748 Us Highway 65, Princeton, MO 64673-7865 | 2019-04-27 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1487191508 | Nephatari Ford | Durable Medical Equipment & Medical Supplies | 24801 Sw 130th Ave Apt 205, Princeton, FL 33032-4095 | 2017-01-26 |
| 1982064374 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 701 W Princeton Dr, Princeton, TX 75407-9002 | 2016-02-29 |
| 1306261011 | Massey's Medical Supplies | Durable Medical Equipment & Medical Supplies | 300 W Princeton Dr Ste 2, Princeton, TX 75407-9709 | 2014-03-04 |
| 1942621156 | A & K Medical Supplies | Durable Medical Equipment & Medical Supplies | 300 W Princeton Dr, Suite 2, Princeton, TX 75407-9710 | 2013-12-16 |
| 1225379308 | Costa Medical | Durable Medical Equipment & Medical Supplies | 32 Nassau St, Suite 300, Princeton, NJ 08542-4503 | 2013-03-14 |
| 1649551557 | Princeton Mobility and Medical Products | Durable Medical Equipment & Medical Supplies | 116 S Rum River Dr, Suite 6b, Princeton, MN 55371-4532 | 2011-09-06 |
| 1346481546 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1915 W Broadway St, Princeton, IN 47670-1095 | 2009-03-18 |
| Find all providers in PRINCETON | ||||
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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.