Fulcrum Health, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FULCRUM HEALTH, INC.

Practice address

3300 Fernbrook Lane North
Suite 150
Plymouth, MN 55447-5350

Phone

(763) 204-8541

Fax

(763) 204-8544

NPI assigned

Sep 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Dennis

Title

Ceo

Phone

(763) 204-8541

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Care of Minnesota, Inc. Former legal business name

Tax ID family

Fulcrum Health Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Fulcrum Health, Inc.

  • Case Management Agency
  • Plymouth, MN
  • NPI 1073664595
  NPD tax ID
• Fulcrum Health, Inc.

  • Exclusive Provider Organization
  • Plymouth, MN
  • NPI 1316639776
  NPD tax ID
• Fulcrum Health, Inc.

  • Exclusive Provider Organization
  • Plymouth, MN
  • NPI 1639861081
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1003000969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FERNBROOK LANE NORTH",
            "address_2": "SUITE 150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475350",
            "telephone_number": "763-204-8541",
            "fax_number": "763-204-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 FERNBROOK LANE NORTH",
            "address_2": "SUITE 150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475350",
            "telephone_number": "763-204-8541",
            "fax_number": "763-204-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-204-8541"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care of Minnesota, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James R Fricton, DDS
• Emma Grace Frid
• Jarred Frisk, PT
• Daniel Peter Fristoe, D.D.S.
• Janelle Fuchs
• Fulcrum Health, Inc.
• Fulcrum Health, Inc.
• Fulcrum Health, Inc.
• Donna R Funderburk, MA
• Erin Fuscher

• All providers in Plymouth, MN
• Exclusive Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.