LIGHT MOUNTAIN HEALTHWORKS INC. (NPI# 1780974998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780974998 |
Entity Type | Organization |
Organization Name | LIGHT MOUNTAIN HEALTHWORKS INC. |
Practice Address |
502 Hidden Trail Ct Sw Bemidji MN 56601-2569 |
Practice Telephone | 2187590835 |
Practice Fax Number | 2187590835 |
Mailing Telephone | 2187590835 |
Mailing Fax Number | 2187590835 |
Enumeration Date | 2011-04-10 |
Last Update Date | 2011-04-10 |
Authorized Official Name | MS. JANET ANN LISTEBARGER (PRESIDENT) |
Authorized Official Telephone | 2187590835 |
Authorized Official Credential | RN, MT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
R107370-6 | MN | Ambulatory Health Care Facilities |
Street Address |
502 HIDDEN TRAIL CT SW |
City | BEMIDJI |
State | MN |
Zip Code | 56601-2569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
Find all providers in zip 56601 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1437758471 | Hpm of Minnesota Pllc | Clinic/Center | 49725 Co Rd 83, Staples, MN 56479 | 2020-10-21 |
1902356868 | Metro Mn Pain Center, LLC | Clinic/Center | 3260 County Road 10, Suite G, Brooklyn Center, MN 55429-3076 | 2016-10-04 |
1104286772 | Pain Clinics of Minnesota P.a. | Clinic/Center | 4600 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2016-02-25 |
1144563503 | Nura Pa | Clinic/Center | 9550 Upland Lane N, Suite 120, Maple Grove, MN 55369-4481 | 2013-04-03 |
1043836406 | Us Pain and Rehabilitation Center, Pa | Clinic/Center | 1997 Sloan Pl Ste 23, Saint Paul, MN 55117-2051 | 2020-06-22 |
1689068462 | Group Health Plan, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw, Suite 311, Coon Rapids, MN 55433 | 2015-03-19 |
1780090449 | Capitol Pain Management Pllc | Clinic/Center | 651 Arcade St, Saint Paul, MN 55106-4518 | 2014-07-02 |
1003159567 | Nura Pa | Clinic/Center | 7390 France Ave S, Edina, MN 55435-4500 | 2013-04-03 |
1629311089 | Nura Pa | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2013-04-03 |
1275881971 | Dodson Pain Consultants, P.a. Corp | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2012-08-28 |
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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.