Organization Active NPI

NHS Northstar, Inc.

  • Community/Behavioral Health Agency
  • Chisholm, MN
National Provider Identifier
1114227345
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jun 6, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.