Complete Health PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COMPLETE HEALTH PC

Practice address

3315 Bemidji Avenue North
Bemidji, MN 56601-4330

Phone

(218) 444-2225

Fax

(218) 444-7225

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Randall Wayne Lish, D.C.NPI 1952471633

Title

Doctor / Owner

Phone

(218) 444-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Randall Wayne Lish, DC

  • Chiropractor
  • Bemidji, MN
  • NPI 1952471633
  Medicare reassignment NPD Authorized official
• Mary C. Berry, D.C.

  • Chiropractor
  • Princeton, MN
  • NPI 1093881989
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1063176790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BEMIDJI AVENUE NORTH",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014330",
            "telephone_number": "218-444-2225",
            "fax_number": "218-444-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BEMIDJI AVENUE NORTH",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014330",
            "telephone_number": "218-444-2225",
            "fax_number": "218-444-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "LISH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "218-444-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Common Ground Integrative Health Inc
• Community Behavioral Health Hospital Bemidji
• Community Support Systems, Inc.
• Community Support Systems, Inc.
• Community Support Systems, Inc.
• Adrian R Cook, PHARM D
• Melissa Cook, LICSW
• Samuel David Cook, M.D.
• Bret Eric Cooper, DDS MS
• Rachel Adelle Ihrig Cooper, MD

• Chiropractor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.