Organization Active NPI

Firstsolutions

Doing business as SuperiorHealth Center

  • Clinic/Center
  • Duluth, MN
National Provider Identifier
1164452843
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FIRSTSOLUTIONS
Doing business as
SuperiorHealth Center
Practice address
1502 London Road
Suite 102
Duluth, MN 55812-2915
Phone
(218) 727-8228
Fax
(218) 727-5582
NPI assigned
Jul 5, 2006
Last updated
May 14, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRSTSOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terry R Jacobson
Title
Ceo
Phone
(218) 740-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1502 London Road
Suite 102
Duluth, MN 55812-2915

Mailing address

1502 London Rd
Suite 102
Duluth, MN 55812-1788
Phone (218) 727-8228

Other identifiers 1

IdentifierTypeStateIssuer
558210500MedicaidMN

Other names 1

  • SuperiorHealth Center Doing business as

National Provider Directory

National Provider Directory
Part of
Proctor Family Medical

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1164452843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-727-8228",
            "fax_number": "218-740-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON ROAD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122915",
            "telephone_number": "218-727-8228",
            "fax_number": "218-727-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSOLUTIONS",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-740-2330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558210500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperiorHealth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.