Birchtree Health PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R 141127-4 Issued in MN

Legal business name

BIRCHTREE HEALTH PLLC

Practice address

516 S Pokegama Ave
Grand Rapids, MN 55744-3800

Phone

(218) 256-4456

NPI assigned

Oct 22, 2013

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Orhn, CNP

Title

Owner

Phone

(218) 256-4456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1285062687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443800",
            "telephone_number": "218-256-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443800",
            "telephone_number": "218-256-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHTREE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ORHN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-256-4456",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "R 141127-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269062400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen Bengtson, MA, LP
• Jerome C Berndt, LICSW & LMFT
• Derek A Beyer, MD
• Beyond Counseling LLC
• Bio-Medical Applications of Minnesota, Inc. (FMC Dialysis Services Grand Rapids)
• Marit Bjordal, PHARMD
• Renada Bjordal, SLP
• Andrew Morris Blair
• Fredrick Bruce Blaisdell, MD
• Katrina Marie Boden, CNP

• Primary Care Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.