Essentia Health Virginia, LLC
Organization Active NPI Rural Health Clinic/Center · Babbitt, MN
NPI 1326595646 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1326595646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ESSENTIA HEALTH VIRGINIA, LLC
- Practice address
- 71 South Dr
Babbitt, MN 55706-1232 - Phone
- (218) 827-2176
- NPI assigned
- Sep 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Samuel Stone
- Title
- Coo
- Phone
- (218) 749-9496
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 6
Member of 2
Practitioners 24
-
Wendy Kay Baty, RN, CNP
-
Neissa Rhea Boehm, RN, CNP
-
Shannon Brookhouser, PA-C
-
Megan Suzanne Brunner, APRN, CNP
-
Kari Jo Brych, APRN, CNP
-
Aaron R Burkhart, MD
-
Sandra K Hanson, MD
-
Andrew George Keenan, M.D.
-
Bradley Randall Kuzel, M.D.
-
Adam J Riutta, MD
-
Kadi Weyandt, PA-C
-
Patrick Joseph Hughes II, M.D.
-
Melissa Debra Kohn, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130306000467 | MN | Part B Supplier - Clinic/Group Practice | 7810149002 |
Receives reassigned benefits from 193 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Babbitt, MN; Ely, MN; International Falls, MN; Virginia, MN |
National Provider Directory
- Tax ID family
- Essentia Health Virginia LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
71 South Dr
Babbitt, MN 55706-1232
Mailing address
71 South Dr
Babbitt, MN 55706-1232
Phone (218) 827-2176
Other names
- Essentia Health Babbitt Clinic
Other providers in Babbitt, MN
- Babbitt Carefree Living
- Babbitt Drug Inc
- City of Babbitt
- Robert Marvin Erickson
- Essentia Health Virginia, LLC
- Brenda Evancevich
- Ol-US Babbitt, LLC
- Robert M. Erickson D.D.S, LTD.
- Rural Living Health Services, LLC
All providers in Babbitt, MN · Rural Health Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.