| Riverview Healthcare Association | |
|
323 S Minnesota St Crookston MN 56716-1601 | |
| (800) 743-6551 | |
| (218) 281-9509 |
| Full Name | Riverview Healthcare Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 323 S Minnesota St, Crookston, Minnesota |
| Authorized Official Name and Position | Betty Arvidson (CFO) |
| Authorized Official Contact | 2182819756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Healthcare Association 323 S Minnesota St Crookston MN 56716-1601 Ph: (218) 281-9200 | Riverview Healthcare Association 323 S Minnesota St Crookston MN 56716-1601 Ph: (800) 743-6551 |
| NPI Number | 1487944898 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 7810806718 |
|---|---|
| Medicare Enrollment ID | O20060505000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487944898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Mathew L Stayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548217268 PECOS PAC ID: 0547241531 Enrollment ID: I20060306000729 |
| Provider Name | Kevin P Murphy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912019415 PECOS PAC ID: 7113823618 Enrollment ID: I20100608000931 |
| Provider Name | Doron M Spierer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356654388 PECOS PAC ID: 1456547561 Enrollment ID: I20101130001425 |
| Provider Name | Evans O Magambo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881824407 PECOS PAC ID: 3476709825 Enrollment ID: I20120817000319 |
| Provider Name | Darcey Larsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528461092 PECOS PAC ID: 5698097947 Enrollment ID: I20141124001068 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Marilyn Rae Geninatti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649204819 PECOS PAC ID: 5991723710 Enrollment ID: I20180719003177 |
| Provider Name | David Gutman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376507079 PECOS PAC ID: 8921012113 Enrollment ID: I20200611003020 |
| Provider Name | Forrest V Laporte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786207 PECOS PAC ID: 0941626204 Enrollment ID: I20200817003457 |
| Provider Name | Heather Lynn Waldal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629777 PECOS PAC ID: 3779990072 Enrollment ID: I20210405000662 |
| Provider Name | Luke A. Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891145983 PECOS PAC ID: 8527484203 Enrollment ID: I20211130001790 |
| Provider Name | Kessiena Aya-olabisi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588047096 PECOS PAC ID: 7911398896 Enrollment ID: I20220104000770 |
Altru Clinic Crookston Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 Fax: 218-281-9189 |