Hiawatha Clinic Center LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

HIAWATHA CLINIC CENTER LLC

Practice address

2275 Snelling Ave N Apt 309
Roseville, MN 55113-4285

Phone

(651) 308-8842

Fax

(612) 225-6758

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Miss Hudo O Mire

Title

Manager

Phone

(651) 308-8842

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1164766010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SNELLING AVE N APT 309",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134285",
            "telephone_number": "651-308-8842",
            "fax_number": "612-225-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SNELLING AVE N APT 309",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134285",
            "telephone_number": "651-308-8842",
            "fax_number": "612-225-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA CLINIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "HUDO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-308-8842",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Henseler, M.D.
• Hero Home Health Care L L C
• Margaret Fischer Herriges, MSW, LICSW
• Jenna Hertaus, LPCC
• Kalli Amber Hess Osiemo, M.D.
• Molly Kathleen Hickey, PAC
• Kathleen Mary Higgins, DC
• Valentina Hill, CRT
• Amy Hilsen
• Samantha Hinderks

• Rehabilitation Hospital Unit in Roseville, MN
• Providers in Roseville, MN by specialty
• Rehabilitation Hospital Unit in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.