NPIMap

Organization Active NPI

Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Cottage Grove, MN
National Provider Identifier
1003590423
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRESENCE TELEHEALTH PLLC
Practice address
7500 80TH St S Ste 100
Cottage Grove, MN 55016-3008
Phone
(651) 249-1308
NPI assigned
Jun 14, 2023
Organization subpart
Yes
Parent organization
PRESENCE TELEHEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Cooper L Rendon, PA-CNPI 1003199068
Title
Ceo
Phone
(805) 698-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

7500 80TH St S Ste 100
Cottage Grove, MN 55016-3008

Mailing address

7500 80TH St S Ste 100
Cottage Grove, MN 55016-3008
Phone (651) 249-1308

Other names 1

  • Compcare Urgent Care Cottage Grove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presence Telehealth PLLC5 organizations share this tax ID, including this one
Part of
Presence Telehealth PLLC

Other organizations with this tax ID 4

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

Locations

7500 80th St S
Ste 100
Cottage Grove, MN 55016
Phone (651) 249-1308

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1003590423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 80TH ST S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163008",
            "telephone_number": "651-249-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 80TH ST S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163008",
            "telephone_number": "651-249-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE TELEHEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE TELEHEALTH PLLC",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "COOPER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-698-8480",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compcare Urgent Care Cottage Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.