Active NPI
NHS Northstar, Inc.
- Community/Behavioral Health Agency
- Chisholm, MN
National Provider Identifier
1114227345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NHS NORTHSTAR, INC.
- Practice address
- 227 W Lake St
Chisholm, MN 55719-3712 - Phone
- (218) 254-5757
- Fax
- (218) 254-9856
- NPI assigned
- Oct 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Kildahl
- Title
- Cfo
- Phone
- (218) 254-5757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
227 W Lake St
Chisholm, MN 55719-3712
Mailing address
227 W Lake St
Chisholm, MN 55719-3712
Phone (218) 254-5757
National Provider Directory
National Provider DirectoryLocations
227 W Lake St
Chisholm, MN 55719
Phone (218) 254-5757
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Medford, OR
- NPI 1629164561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1114227345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 W LAKE ST",
"city": "CHISHOLM",
"state": "MN",
"postal_code": "557193712",
"telephone_number": "218-254-5757",
"fax_number": "218-254-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W LAKE ST",
"city": "CHISHOLM",
"state": "MN",
"postal_code": "557193712",
"telephone_number": "218-254-5757",
"fax_number": "218-254-9856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHS NORTHSTAR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-21",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "KILDAHL",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "218-254-5757",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chisholm, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.