Arden Milton Beachy, M.D.
Individual provider Active NPI Family Medicine Physician · Staples, MN
NPI 1164412151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164412151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 42143 (MN)
- Practice address
- 49725 County 83
Staples, MN 56479-5280 - Phone
- (218) 894-1515
- Fax
- (218) 894-1316
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Aloisius Hospital, Inc.
Practice addresses (Care Compare)
325 Brewster St E
Harvey, ND 58341-1653
Phone (701) 324-4651
Hospital & facility affiliations
- SMP Health St Aloisius
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130619000396 | ND | Practitioner - Family Practice |
5698671220 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42143 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Center | Current |
Accepting new patients | |
| St Aloisius Hospital Inc | Current |
Accepting new patients | |
| St Aloisius Hospital Inc | Current |
Accepting new patients | |
| Family Health Care Center | Current | Accepting new patients | |
| Lakewood Health System | Past | Accepting new patients |
Locations
301 Np Ave N
Fargo, ND 58102
4025 9th Ave S
Fargo, ND 58103
Phone (701) 551-2446
325 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651
Interoperability endpoints
- abeachy412987@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42143 | MN | Yes |
Addresses
Primary practice location
49725 County 83
Staples, MN 56479-5280
Mailing address
49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515
Other providers in Staples, MN
- Jennifer C Asche
- Alison J Ator
- Zachary Bailey
- Jeffery Warren Barron
- Marissa Elizabeth Baumgartner
- Rebecca Lynn Bennett
- Blaise Auguste Bindoula
- Alesandra Jean Boily
- Brainerd Medical Center Inc.
- Neil Alexander Bratney
All providers in Staples, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.