Ortonville Area Health Services | |
450 Eastvold Ave Ortonville MN 56278-1252 | |
(320) 839-2502 | |
(320) 839-4105 |
Full Name | Ortonville Area Health Services |
---|---|
Speciality | Clinic/Center |
Location | 450 Eastvold Ave, Ortonville, Minnesota |
Authorized Official Name and Position | David Rogers (ADMINISTRATOR) |
Authorized Official Contact | 3208392502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ortonville Area Health Services 450 Eastvold Ave Ortonville MN 56278-1252 Ph: (320) 839-2502 | Ortonville Area Health Services 450 Eastvold Ave Ortonville MN 56278-1252 Ph: (320) 839-2502 |
NPI Number | 1477799765 |
---|---|
Provider Enumeration Date | 12/17/2008 |
Last Update Date | 11/09/2015 |
Medicare PECOS PAC ID | 2365448768 |
---|---|
Medicare Enrollment ID | O20090326000381 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477799765 | NPI | - | NPPES |
9174004 | Other | DAKOTACARE | |
05647N0 | Other | MN | BLUE CROSS BLUE SHIELD |
73143 | Other | MN | HEALTH PARTNERS |
001120113 | Other | MN | PRIMEWEST HEALTH |
794447100 | Medicaid | MN | |
106639P499 | Other | MN | UCARE |
Provider Name | Wayne B Janitschke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427013606 PECOS PAC ID: 0446320170 Enrollment ID: I20080605000900 |
Provider Name | Stacy M Longnecker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538199468 PECOS PAC ID: 3173691367 Enrollment ID: I20080930000771 |
Provider Name | Robert Steven Ross |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669431763 PECOS PAC ID: 4284535261 Enrollment ID: I20090326000446 |
Provider Name | Allan E Ross |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538129622 PECOS PAC ID: 0840257077 Enrollment ID: I20090326000637 |
Provider Name | Chris K Moellentine |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770531089 PECOS PAC ID: 0941342018 Enrollment ID: I20100127000882 |
Provider Name | Susan Mk Andersen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831415694 PECOS PAC ID: 0244467678 Enrollment ID: I20131211000013 |
Provider Name | Grant W Botker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295026532 PECOS PAC ID: 5294980009 Enrollment ID: I20140807002191 |
Provider Name | Robert A Cihak |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1528039765 PECOS PAC ID: 5698735322 Enrollment ID: I20160316002069 |
Provider Name | Beth J Fladhammer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053867333 PECOS PAC ID: 1254629280 Enrollment ID: I20161007000012 |
Provider Name | Twila J Mursu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295256964 PECOS PAC ID: 5991077372 Enrollment ID: I20170818002754 |
Provider Name | David Henry Frovarp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942744545 PECOS PAC ID: 3173889409 Enrollment ID: I20171102000795 |
Provider Name | Amanda M Mcmahon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346699741 PECOS PAC ID: 5799079463 Enrollment ID: I20191125000229 |
Provider Name | David Jt Collins |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104347426 PECOS PAC ID: 8123398765 Enrollment ID: I20200820001971 |
Provider Name | Sarah E Fischer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124478565 PECOS PAC ID: 4082900600 Enrollment ID: I20200908003266 |
Provider Name | Stacy Ann Grossman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538772652 PECOS PAC ID: 4082026836 Enrollment ID: I20201218001944 |
Provider Name | Taylor K Peters |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1386276053 PECOS PAC ID: 2769886480 Enrollment ID: I20210803001802 |
Provider Name | Brianna L Gast |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730650938 PECOS PAC ID: 2264850304 Enrollment ID: I20211203001533 |
Provider Name | Amanda Bisby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538687652 PECOS PAC ID: 7719245943 Enrollment ID: I20220106000318 |
Provider Name | Tracy Dozak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245663657 PECOS PAC ID: 6103047972 Enrollment ID: I20230202002520 |
Provider Name | Michelle R Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801592720 PECOS PAC ID: 1153796446 Enrollment ID: I20230419002011 |
Provider Name | Kiana M Conrad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730835166 PECOS PAC ID: 8527454453 Enrollment ID: I20230731001293 |
Ortonville Area Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Trojan Dr, Ortonville, MN 56278 Phone: 320-839-6157 | |
Northside Medical Center, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851 |