Active NPI
Alexandria Industries Family Health & Wellness Clinic
- Primary Care Clinic/Center
- Alexandria, MN
National Provider Identifier
1114471117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ALEXANDRIA INDUSTRIES FAMILY HEALTH & WELLNESS CLINIC
- Practice address
- 690 Voyager Dr
Suite 8
Alexandria, MN 56308-5295 - Phone
- (320) 335-2833
- Fax
- (320) 335-2469
- NPI assigned
- Aug 8, 2016
- Last updated
- Nov 18, 2022
- Organization subpart
- Yes
- Parent organization
- ACHIEVE WELLNESS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Guilliams-Chan
- Title
- Chief Executive Officer
- Phone
- (715) 832-9467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
690 Voyager Dr
Suite 8
Alexandria, MN 56308-5295
Mailing address
690 Voyager Dr
Suite 8
Alexandria, MN 56308-5295
Phone (320) 335-2833
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2115281 | Alexandria Industries Family Health & | Certificate of waiver | Jun 30, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Crystal Family Care Clinic
- Part of
- Crystal Family Care Clinic
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Princeton, MN
- NPI 1487362232
-
dba Achieve Health
- Primary Care Clinic/Center
- Eau Claire, WI
- NPI 1730903295
-
- Primary Care Clinic/Center
- Altoona, WI
- NPI 1306483508
-
dba Achieve Health
- Primary Care Clinic/Center
- Chippewa Falls, WI
- NPI 1912358128
Locations
690 Voyager Dr
Ste 8
Alexandria, MN 56308
Phone (320) 335-2833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1114471117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 VOYAGER DR",
"address_2": "SUITE 8",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085295",
"telephone_number": "320-335-2833",
"fax_number": "320-335-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 VOYAGER DR",
"address_2": "SUITE 8",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085295",
"telephone_number": "320-335-2833",
"fax_number": "320-335-2469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDRIA INDUSTRIES FAMILY HEALTH & WELLNESS CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACHIEVE WELLNESS, LLC",
"enumeration_date": "2016-08-08",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "GUILLIAMS-CHAN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "715-832-9467"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
- Alexandria Chiropractic LLC
- Alexandria Clinic PA
- Alexandria Eye Clinic P.a.
- Alexandria Hearing Center
- Alexandria Imaging, LLC
- Alexandria Rehabilitation LLC (Alexandria Rehabilitation)
- Alexandria Upper Extremity & Hand Therapy
- Alomere Health (Lakes ENT, a service of Alomere Health)
- Alomere Health
- Alomere Health (Alexandria Clinic, a service of Alomere Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.