Organization Active NPI

True North Health Care PA

  • Primary Care Clinic/Center
  • Bemidji, MN
National Provider Identifier
1255733564
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
29637 Issued in MN
Legal business name
TRUE NORTH HEALTH CARE PA
Practice address
521 Minnesota Ave NW
Bemidji, MN 56601-3024
Phone
(218) 308-0294
Fax
(888) 375-3627
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Diane Mountain Pittman, M.D.NPI 1205942158
Title
President
Phone
(218) 308-0294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 29637 MN Primary

Addresses

Primary practice location

521 Minnesota Ave NW
Bemidji, MN 56601-3024

Mailing address

9180 Goodnuff LN NE
Bemidji, MN 56601-9780
Phone (218) 308-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140926000537 MN Part B Supplier - Clinic/Group Practice 4688894660 Receives reassigned benefits from 1 practitioner
Practice locations: Bemidji, MN

National Provider Directory

National Provider Directory

Locations

514 Beltrami Ave NW
#102
Bemidji, MN 56601
Phone (218) 308-0294

521 Minnesota Ave NW
Bemidji, MN 56601
Phone (218) 308-0294

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1255733564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 GOODNUFF LN NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019780",
            "telephone_number": "218-308-0294",
            "fax_number": "888-375-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MINNESOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013024",
            "telephone_number": "218-308-0294",
            "fax_number": "888-375-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH HEALTH CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MOUNTAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-308-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "29637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.