NPIMap

Organization Active NPI

Belgrade Medical Center

  • Family Medicine Physician
  • Belgrade, MN
National Provider Identifier
1083621056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELGRADE MEDICAL CENTER
Practice address
417 Washburn Avenue
Belgrade, MN 56312
Phone
(320) 254-8256
Fax
(320) 254-8257
NPI assigned
Aug 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kirk Stensrud
Title
Ceo
Phone
(320) 634-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

417 Washburn Avenue
Belgrade, MN 56312

Mailing address

417 Washburn Avenue
P.O. Box 178
Belgrade, MN 56312
Phone (320) 254-8256

Other identifiers 1

IdentifierTypeStateIssuer
76210500MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Glacial Ridge Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083621056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 WASHBURN AVENUE",
            "address_2": "P.O. BOX 178",
            "city": "BELGRADE",
            "state": "MN",
            "postal_code": "56312",
            "telephone_number": "320-254-8256",
            "fax_number": "320-254-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WASHBURN AVENUE",
            "city": "BELGRADE",
            "state": "MN",
            "postal_code": "56312",
            "telephone_number": "320-254-8256",
            "fax_number": "320-254-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELGRADE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STENSRUD",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-634-2208"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76210500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.