Ccm Health | |
824 N 11th St Montevideo MN 56265 | |
(320) 269-8877 | |
(320) 269-8186 |
Full Name | Ccm Health |
---|---|
Speciality | General Acute Care Hospital |
Location | 824 N 11th St, Montevideo, Minnesota |
Authorized Official Name and Position | Deserae Anspach (CFO) |
Authorized Official Contact | 3202698877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ccm Health 824 N 11th St Montevideo MN 56265-1629 Ph: (320) 269-8877 | Ccm Health 824 N 11th St Montevideo MN 56265 Ph: (320) 269-8877 |
NPI Number | 1720086028 |
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Provider Enumeration Date | 07/11/2005 |
Last Update Date | 01/19/2023 |
Medicare PECOS PAC ID | 4284539453 |
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Medicare Enrollment ID | O20031201000642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720086028 | NPI | - | NPPES |
855345900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Minnesota) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | 327693 (Minnesota) | Primary |
Provider Name | Patrick J Hanna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467433201 PECOS PAC ID: 1658277157 Enrollment ID: I20031208000282 |
Provider Name | Nicholas D Krueger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417959768 PECOS PAC ID: 5890691307 Enrollment ID: I20031208000309 |
Provider Name | Eleazar P Briones |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255338067 PECOS PAC ID: 7315843869 Enrollment ID: I20031208000476 |
Provider Name | Holly J Gibson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1598752123 PECOS PAC ID: 8022915271 Enrollment ID: I20031216000327 |
Provider Name | Julie K Youngs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538136882 PECOS PAC ID: 6608777677 Enrollment ID: I20040114000418 |
Provider Name | Kimberly D Rupp-montpetit |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1114023967 PECOS PAC ID: 3173416021 Enrollment ID: I20040204000683 |
Provider Name | Randall J Zimmerman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821005638 PECOS PAC ID: 8921995259 Enrollment ID: I20040302000604 |
Provider Name | Jason D Klein |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1477520542 PECOS PAC ID: 7911996228 Enrollment ID: I20040511001284 |
Provider Name | Todd M Severnak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790775393 PECOS PAC ID: 2567452410 Enrollment ID: I20040513001105 |
Provider Name | Eric J Peterson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265436059 PECOS PAC ID: 0244220952 Enrollment ID: I20040514000754 |
Provider Name | Amy Jo Rongstad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194723486 PECOS PAC ID: 3870583198 Enrollment ID: I20040517001319 |
Provider Name | Cheri L Ness |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1548464365 PECOS PAC ID: 1254313083 Enrollment ID: I20040604000059 |
Provider Name | Jane M Wrede |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1235137522 PECOS PAC ID: 6204810294 Enrollment ID: I20040616001283 |
Provider Name | Anthony Chibuzo Okwudiri Nwakama |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1588778658 PECOS PAC ID: 4183696503 Enrollment ID: I20040806000971 |
Provider Name | Javad Keyhani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457369902 PECOS PAC ID: 2062487705 Enrollment ID: I20040827000057 |
Provider Name | John H. L. Odom |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215953732 PECOS PAC ID: 3274502455 Enrollment ID: I20040927000127 |
Provider Name | Gregg A Waylander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346248630 PECOS PAC ID: 1456318799 Enrollment ID: I20041217000496 |
Provider Name | Seema Maddali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467498972 PECOS PAC ID: 7810944246 Enrollment ID: I20050502001014 |
Provider Name | Clay J Pavlis |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20050531000112 |
Provider Name | Julie C Schultz |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1851368211 PECOS PAC ID: 2062458532 Enrollment ID: I20050706000787 |
Provider Name | Mark Janorschke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20050907001063 |
Provider Name | Steven Patrick Feeney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649208604 PECOS PAC ID: 1153234752 Enrollment ID: I20060112000141 |
Provider Name | Shane P Volk |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972626703 PECOS PAC ID: 3971518697 Enrollment ID: I20060215000816 |
Provider Name | Jacob D Kotzian |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255387775 PECOS PAC ID: 6002826583 Enrollment ID: I20060427000574 |
Provider Name | Wade T Schmidt |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1629031190 PECOS PAC ID: 8820091986 Enrollment ID: I20060810000557 |
Provider Name | Joseph D Scuderi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043292253 PECOS PAC ID: 7517957988 Enrollment ID: I20070830000695 |
Provider Name | Neil K Jessen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205800646 PECOS PAC ID: 4486615580 Enrollment ID: I20071025000347 |
Provider Name | Charles Wolfe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376594457 PECOS PAC ID: 6901994979 Enrollment ID: I20071109000123 |
Provider Name | Jon C Weber |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1114939345 PECOS PAC ID: 5991751224 Enrollment ID: I20080104000554 |
Provider Name | Eric N Haugen |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1821062415 PECOS PAC ID: 4486759784 Enrollment ID: I20080603000660 |
Provider Name | Ronald M Haan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1861425753 PECOS PAC ID: 9537183165 Enrollment ID: I20080715000488 |
Provider Name | Rizan A Hajal |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1932150968 PECOS PAC ID: 1254359912 Enrollment ID: I20080717000798 |
Provider Name | Janice D Briones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386804532 PECOS PAC ID: 4183782568 Enrollment ID: I20081029000614 |
Provider Name | Micaela E Brown |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1598929812 PECOS PAC ID: 8527127737 Enrollment ID: I20081103000531 |
Provider Name | Andrew J Johnson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1326255449 PECOS PAC ID: 7113018730 Enrollment ID: I20081119000779 |
Provider Name | Melodie H Maerz |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1073755609 PECOS PAC ID: 5991857799 Enrollment ID: I20090708000523 |
Provider Name | Mark R Johnston |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912973058 PECOS PAC ID: 8527109354 Enrollment ID: I20091230000566 |
Provider Name | Eduardo Duenas-barajas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235116914 PECOS PAC ID: 5496897290 Enrollment ID: I20100115000884 |
Provider Name | Daniel W Watson |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1083691844 PECOS PAC ID: 9133262942 Enrollment ID: I20100202000580 |
Provider Name | Darin D Willardsen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346230034 PECOS PAC ID: 5395880462 Enrollment ID: I20100302000141 |
Provider Name | Lisa M Baker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912970179 PECOS PAC ID: 3870544869 Enrollment ID: I20100428000975 |
Provider Name | Shih-an Hsieh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
Provider Name | Jeanne A Murphy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942290531 PECOS PAC ID: 5193816379 Enrollment ID: I20101116001022 |
Provider Name | Miriam V Ragab |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356335467 PECOS PAC ID: 0749294114 Enrollment ID: I20111202000114 |
Provider Name | Jonathan B Anderson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1548526254 PECOS PAC ID: 0143482356 Enrollment ID: I20120504000462 |
Provider Name | Marcie L Schmiesing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154686087 PECOS PAC ID: 7012165400 Enrollment ID: I20120910000244 |
Provider Name | Thomas G Lewison |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1790034742 PECOS PAC ID: 3779733928 Enrollment ID: I20121024000110 |
Provider Name | Robert E Citrowske Lee |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1770858474 PECOS PAC ID: 6709039795 Enrollment ID: I20121221000360 |
Provider Name | David M Truscinski |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1083059075 PECOS PAC ID: 1557596236 Enrollment ID: I20131105001514 |
Provider Name | Kristina A Kase |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1609218833 PECOS PAC ID: 7810123544 Enrollment ID: I20131202000307 |
Provider Name | James E Malkuch |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1053747667 PECOS PAC ID: 1850529264 Enrollment ID: I20140110000134 |
Provider Name | Jennifer L Briest |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780006858 PECOS PAC ID: 4981833019 Enrollment ID: I20140212000487 |
Provider Name | Jessica A Stettner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659783389 PECOS PAC ID: 5395960512 Enrollment ID: I20140702000627 |
Provider Name | Richard Walter Pretorius |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20150515000330 |
Provider Name | Lana J Dirksen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316381965 PECOS PAC ID: 9436460565 Enrollment ID: I20150616002506 |
Provider Name | Mehdi Dastrange |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
Provider Name | Tracy Huntington |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1225297724 PECOS PAC ID: 8426121781 Enrollment ID: I20150713002283 |
Provider Name | Bradley A Horner |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205172921 PECOS PAC ID: 8628213436 Enrollment ID: I20150716001221 |
Provider Name | Eric David Hyun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20150825004478 |
Provider Name | Darla Miles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457729402 PECOS PAC ID: 0446560429 Enrollment ID: I20151103001243 |
Provider Name | Rebecca A Younk |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1518337294 PECOS PAC ID: 1254633100 Enrollment ID: I20160108001179 |
Provider Name | Mark Swenson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1316064835 PECOS PAC ID: 3971696071 Enrollment ID: I20160712003034 |
Provider Name | Alicia E Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942759576 PECOS PAC ID: 2365720687 Enrollment ID: I20161020001390 |
Provider Name | Gudrun Teigen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548700859 PECOS PAC ID: 9931484581 Enrollment ID: I20170321002507 |
Provider Name | Shauna L Rich Jacobson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265406698 PECOS PAC ID: 7719878388 Enrollment ID: I20170601002769 |
Provider Name | Nicholas Michael Taurinskas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992119291 PECOS PAC ID: 2062716574 Enrollment ID: I20170914002731 |
Provider Name | Brandon Chase Osbon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871908715 PECOS PAC ID: 2961799937 Enrollment ID: I20171005001200 |
Provider Name | Kristin M Lyerly |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295965069 PECOS PAC ID: 2961637277 Enrollment ID: I20171006002741 |
Provider Name | Kaylene Larson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003323304 PECOS PAC ID: 7416217237 Enrollment ID: I20180215001874 |
Provider Name | Kaci D Rainey |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1720594062 PECOS PAC ID: 8628330180 Enrollment ID: I20180320003346 |
Provider Name | Bailey A Dykema |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942717046 PECOS PAC ID: 2769744069 Enrollment ID: I20180327000473 |
Provider Name | Molly T Ries |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992129811 PECOS PAC ID: 6103049861 Enrollment ID: I20180711000693 |
Provider Name | Paul K Perry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043448095 PECOS PAC ID: 4284888462 Enrollment ID: I20180807002336 |
Provider Name | Megan A Grimsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982181061 PECOS PAC ID: 6002153533 Enrollment ID: I20190122003430 |
Provider Name | Stephanie J Johanneck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891355913 PECOS PAC ID: 6507191053 Enrollment ID: I20190705001197 |
Provider Name | Christian Junk |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427580380 PECOS PAC ID: 5991075343 Enrollment ID: I20190822003582 |
Provider Name | Leesa R Novotny |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225483563 PECOS PAC ID: 9931480340 Enrollment ID: I20190826002202 |
Provider Name | Jason L Barnhard |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1356600761 PECOS PAC ID: 5890951032 Enrollment ID: I20190830000239 |
Provider Name | Stephanie D Baldwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457903551 PECOS PAC ID: 1355671330 Enrollment ID: I20190918002762 |
Provider Name | Ashley M Jerve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619523131 PECOS PAC ID: 1456681824 Enrollment ID: I20190927000247 |
Provider Name | Michelle M Schuldt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710593009 PECOS PAC ID: 2365858834 Enrollment ID: I20210308001568 |
Provider Name | Yuan Y Stevenson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598152829 PECOS PAC ID: 0244521300 Enrollment ID: I20210715004179 |
Provider Name | Rodney D Brandt |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1568573541 PECOS PAC ID: 6507881257 Enrollment ID: I20210831000132 |
Provider Name | Katherine S Fitzkappes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831761675 PECOS PAC ID: 0941606586 Enrollment ID: I20210908001316 |
Provider Name | Lori Colleen Lima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699368696 PECOS PAC ID: 2163829433 Enrollment ID: I20210929001946 |
Provider Name | Brittany S Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790288090 PECOS PAC ID: 3971852161 Enrollment ID: I20220111001892 |
Provider Name | Natasha M Eichorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750034450 PECOS PAC ID: 2466846696 Enrollment ID: I20220303001327 |
Provider Name | Brittiny L Nolan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396497764 PECOS PAC ID: 7113314998 Enrollment ID: I20220426000732 |
Provider Name | David F Manke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992123582 PECOS PAC ID: 4880812916 Enrollment ID: I20220519000481 |
Provider Name | Eleazar P Briones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407410228 PECOS PAC ID: 3173906377 Enrollment ID: I20220822001660 |
Provider Name | Alicia E Peterson |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1942759576 PECOS PAC ID: 2365720687 Enrollment ID: I20221118000849 |
Provider Name | Emily Felzenberg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20221222002211 |
Provider Name | Megan Ann Woller |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1801500400 PECOS PAC ID: 1153792205 Enrollment ID: I20230127000781 |
Provider Name | Kristen N Winterringer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568086064 PECOS PAC ID: 4486078854 Enrollment ID: I20230624000339 |
Provider Name | Jenna E Erickson |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1982243903 PECOS PAC ID: 5395108294 Enrollment ID: I20230824003774 |
Provider Name | Emily R Temple-wood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992334577 PECOS PAC ID: 4183072507 Enrollment ID: I20231127000364 |
Provider Name | Elizabeth R Orr |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306469721 PECOS PAC ID: 4688097298 Enrollment ID: I20231222002292 |
Provider Name | Cassie J Sonstegard |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902108343 PECOS PAC ID: 7618329350 Enrollment ID: I20240118002634 |
Provider Name | Krystle M Drietz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619746948 PECOS PAC ID: 4082051644 Enrollment ID: I20240319002915 |
Bee Well Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1319 Grove Ave Ste 3, Montevideo, MN 56265 Phone: 320-321-2950 Fax: 949-863-2659 | |
Ccm Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-321-8289 | |
Northland Prairie Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Sw 1st St, Montevideo, MN 56265 Phone: 320-321-1181 Fax: 320-321-1388 |