RENVILLE COUNTY HOSPITAL & CLINICS (NPI# 1942276795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942276795 |
Entity Type | Organization |
Organization Name | RENVILLE COUNTY HOSPITAL & CLINICS |
Other Organization Name | PRAIRIE FAMILY PRACTICE |
Practice Address |
600 E Park Ave Olivia MN 56277-1370 |
Mailing Address |
611 E Fairview Ave Olivia MN 56277-4213 |
Practice Telephone | 3205231460 |
Practice Fax Number | 3205231703 |
Mailing Telephone | 3205233450 |
Mailing Fax Number | 3205233490 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2010-01-06 |
Authorized Official Name | MR. DAVID DUNN (CHIEF OPERATIONS OFFICER) |
Authorized Official Telephone | 3205231460 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 1297 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 514403000 | 05 | |
MN | 857710200 | 05 |
Other Name | Type Code |
---|---|
Prairie Family Practice | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457313504 | Renville County Hospital & Clinics | Clinic/Center | 131 Birch Ave, Hector, MN 55342 | 2006-04-04 |
1164484226 | Renville County Hospital & Clinics | Clinic/Center | 420 Main St, Renville, MN 56284 | 2006-04-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RENVILLE COUNTY HOSPITAL & CLINICS | 100 Healthy Way, Olivia, MN 56277-1117 |
Street Address |
600 E PARK AVE |
City | OLIVIA |
State | MN |
Zip Code | 56277-1370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689668600 | Joseph Montanaro Jr. | Obstetrics & Gynecology | 600 E Park Ave, Olivia, MN 56277-1370 | 2005-09-06 |
1467808105 | St. Cloud Hospital | Clinic/Center | 600 E Park Ave, Olivia, MN 56277-1370 | 2016-05-12 |
1619303682 | Rebecca M Thiesse | Audiologist | 600 E Park Ave, Ste 2, Olivia, MN 56277 | 2013-09-22 |
1477514669 | Borney Brian Tilby | Family Medicine | 600 E Park Ave, Olivia, MN 56277-1370 | 2006-03-29 |
1033179676 | Nazita Adili-khams | Family Medicine | 600 E Park Ave, Olivia, MN 56277-1370 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720632276 | William Cleveland | Pharmacist | 105 S 1st Street, Olivia, MN 56277 | 2019-08-01 |
1386172633 | Healing Transformations Counseling Pllc | Social Worker | 1635 West Lincoln Avenue, Suite 3, Olivia, MN 56277 | 2017-05-31 |
1053455774 | Sward-kemp Drug Co of Olivia Inc | Pharmacy | 801 East Depue Avenue, Olivia, MN 56277 | 2007-02-16 |
1073678959 | Independent School District No 2534 | Local Education Agency (LEA) | 701 South 9th Street, Olivia, MN 56277 | 2006-12-22 |
1669488466 | Olivia Ambulance Service, Inc. | Ambulance | 1005 W Lincoln Ave, Olivia, MN 56277 | 2006-08-01 |
1871746164 | Lisa Lora Babler | Physician Assistant | 611 E Fairview Ave, Olivia, MN 56277 | 2008-10-30 |
1679667554 | Bruce B Neumann | Podiatrist | 100 Healthy Way, Olivia, MN 56277 | 2006-10-03 |
1982655270 | Ggnsc Olivia LLC | Skilled Nursing Facility | 1003 W Maple Ave, Olivia, MN 56277-1063 | 2006-05-12 |
1093337800 | Renville Olivia Holdings | Skilled Nursing Facility | 1003 W Maple Ave, Olivia, MN 56277-1063 | 2020-05-14 |
1982149183 | Olivia Operations LLC | Skilled Nursing Facility | 1003 W Maple Ave, Olivia, MN 56277-1063 | 2016-12-23 |
Find all providers in zip 56277 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on RENVILLE COUNTY HOSPITAL & CLINICS.
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.