NPIMap

Organization Active NPI

Firstsolutions

Doing business as SuperiorHealth Center

  • Clinical Medical Laboratory
  • Proctor, MN
National Provider Identifier
1316089246
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
24D0404091 Issued in MN
Legal business name
FIRSTSOLUTIONS
Doing business as
SuperiorHealth Center
Practice address
211 S Boundary Ave
Proctor, MN 55810-2306
Phone
(218) 624-4819
NPI assigned
Feb 14, 2007
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
Clinical Medical Laboratory 291U00000X 24D0404091 MN Primary

Addresses

Primary practice location

211 S Boundary Ave
Proctor, MN 55810-2306

Mailing address

211 S Boundary Ave
Proctor, MN 55810-2306
Phone (218) 624-4819

Other names 1

  • SuperiorHealth Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Proctor Family Medical3 organizations share this tax ID, including this one
Part of
Proctor Family Medical

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1316089246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S BOUNDARY AVE",
            "city": "PROCTOR",
            "state": "MN",
            "postal_code": "558102306",
            "telephone_number": "218-624-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S BOUNDARY AVE",
            "city": "PROCTOR",
            "state": "MN",
            "postal_code": "558102306",
            "telephone_number": "218-624-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSOLUTIONS",
        "enumeration_date": "2007-02-14",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "24D0404091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperiorHealth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Proctor, 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.