MILESTONE THERAPEUTICS INC (NPI# 1861540064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861540064 |
| Entity Type | Organization |
| Organization Name | MILESTONE THERAPEUTICS INC |
| Practice Address |
921 43rd Ave N Fargo ND 58102-5320 |
| Practice Telephone | 7017933646 |
| Practice Fax Number | 7012936892 |
| Mailing Telephone | 7017933646 |
| Mailing Fax Number | 7012936892 |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEPHEN PRESTON OLSON (PRESIDENT) |
| Authorized Official Telephone | 7017933646 |
| Authorized Official Credential | OTRL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS ND CLINIC NUMBER | 6345001 | 01 |
| ND | HEALTH PARTNERS PROV. # | 107041 | 01 |
| MN | BCBS MN PROVIDER NUMBER | 371G1MI | 01 |
| ND | PREFERRED ONE PROV. NUM. | 1042648 | 01 |
| ND | ND MA PROVIDER NUMBER | 54893 | 01 |
| ND | MEDICA PROVIDER NUMBER | 64-05519 | 01 |
| ND | EPNI PROVIDER NUMBER | 371G1MI | 01 |
| Street Address |
921 43RD AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407907082 | Jacky Eileen Mergner | Occupational Therapist | 921 43rd Ave N, Fargo, ND 58102-5320 | 2007-01-12 |
| 1669522520 | Mary Alice Buettner | Occupational Therapist | 921 43rd Ave N, Fargo, ND 58102-5320 | 2007-01-11 |
| 1164570578 | Rochelle Ann Dingmann | Occupational Therapist | 921 43rd Ave N, Fargo, ND 58102-5320 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245475797 | Blue Water Therapy, LLC | Clinic/Center | 3321 4th Ave S Ste D, Fargo, ND 58103-2235 | 2008-12-12 |
| 1457479958 | Pediatric Therapy Partners, Inc. | Clinic/Center | 3060 Frontier Way South, Fargo, ND 58104 | 2007-03-26 |
| 1114925120 | American Lutheran Homes Inc | Clinic/Center | 201 University Dr S, Fargo, ND 58103-1775 | 2005-07-13 |
| 1134523004 | American Lutheran Homes Inc | Clinic/Center | 201 University Dr S, Fargo, ND 58103-1775 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467765420 | Hope Therapy Center, Pllc | Clinic/Center | 107 W Main Ave Ste 300, Bismarck, ND 58501-3871 | 2010-07-20 |
| 1730280371 | Omaha Therapy, Inc | Clinic/Center | 683 State Ave Ste B, Dickinson, ND 58601-4660 | 2006-09-26 |
| 1760930010 | Little Miracles, Inc Pediatric Therapy Clinic | Clinic/Center | 2200 Library Cir, Grand Forks, ND 58201-6326 | 2016-09-15 |
| 1740600774 | Linde, LLC | Clinic/Center | 50 Poplar Ave S, Carrington, ND 58421-2266 | 2014-04-17 |
| 1801195045 | Therapy Solutions LLC | Clinic/Center | 448 21st St W, Suite D1, Dickinson, ND 58601-2647 | 2011-03-25 |
Please comment or provide details below to improve the information on MILESTONE THERAPEUTICS INC.
| 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.