Organization Active NPI

Eagle's Healing Nest

  • Public Health or Welfare Agency
  • Sauk Centre, MN
National Provider Identifier
1114278280
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
5381 Issued in MN
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.