Active NPI
Eagle's Healing Nest
- Public Health or Welfare Agency
- Sauk Centre, MN
National Provider Identifier
1114278280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 5381
- Legal business name
- EAGLE'S HEALING NEST
- Practice address
- 310 Highway 71 N.
Sauk Centre, MN 56378 - Phone
- (320) 351-6200
- Fax
- (320) 351-6202
- NPI assigned
- Sep 28, 2012
- Last updated
- Sep 28, 2012
- 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. Melony L. Butler
- Title
- Chair Director
- Phone
- (218) 371-1570
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 5381 | MN | Primary |
| Public Health or Welfare Agency | 251K00000X | 5382 | MN | |
| Public Health or Welfare Agency | 251K00000X | 5380 | MN |
Addresses
Primary practice location
310 Highway 71 N.
Sauk Centre, MN 56378
Mailing address
310 Highway 71 N.
Sauk Centre, MN 56378
Phone (320) 351-6200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348790400000",
"number": "1114278280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 HIGHWAY 71 N.",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "56378",
"telephone_number": "320-351-6200",
"fax_number": "320-351-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HIGHWAY 71 N.",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "56378",
"telephone_number": "320-351-6200",
"fax_number": "320-351-6202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE'S HEALING NEST",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MELONY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHAIR DIRECTOR",
"authorized_official_telephone_number": "218-371-1570",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MN",
"license": "5381",
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MN",
"license": "5382",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MN",
"license": "5380",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sauk Centre, MN
- Cura of Sauk Centre LLC (Cura of Sauk Centre)
- Del Carmen Marketing (advanced chiropractic clinic)
- Tracy Marie Dilly, D.C.
- Dr. James R. Williams of Sauk Centre DDS PA
- Joel Ellis Dunn, D. O.
- Mercedes Eke
- Fairway Pines
- Falls Court Dentists (Main Street Dental of Sauk Centre)
- Carla J Fowler, CRNA
- Brett Allen Freese, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.