Active NPI
Matthew Perrier
- Public Health or Welfare Agency
- Fergus Falls, MN
National Provider Identifier
1194113258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- R 204964-5
- Practice address
- 560 W Fir Ave
Fergus Falls, MN 56537-1364 - Phone
- (218) 998-8380
- NPI assigned
- Dec 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | R 204964-5 | MN | Primary |
Addresses
Primary practice location
560 W Fir Ave
Fergus Falls, MN 56537-1364
Mailing address
560 W Fir Ave
Fergus Falls, MN 56537-1364
Phone (218) 998-8380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 204964-5 | MN | MD | Public Health or Welfare Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otter Tail County Auditor | Public Health Or Welfare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Fergus Falls, MN
- NPI 1023001260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1194113258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W FIR AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371364",
"telephone_number": "218-998-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W FIR AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371364",
"telephone_number": "218-998-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIER",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-24",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MN",
"license": "R 204964-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.