NPIMap

Organization Active NPI

Preferred Health of Marshall, PA

  • Chiropractor
  • Marshall, MN
National Provider Identifier
1336107671
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PREFERRED HEALTH OF MARSHALL, PA
Practice address
303 Oconnell St
Marshall, MN 56258-2637
Phone
(507) 532-7458
Fax
(507) 532-5612
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Derrik Scott PinckneyNPI 1558442988
Title
President
Phone
(507) 532-7458

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

303 Oconnell St
Marshall, MN 56258-2637

Mailing address

303 Oconnell St
Marshall, MN 56258-2637
Phone (507) 532-7458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000937 MN Part B Supplier - Clinic/Group Practice 7618993718 Receives reassigned benefits from 3 practitioners
Practice locations: Marshall, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1336107671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 OCONNELL ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582637",
            "telephone_number": "507-532-7458",
            "fax_number": "507-532-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 OCONNELL ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582637",
            "telephone_number": "507-532-7458",
            "fax_number": "507-532-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HEALTH OF MARSHALL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "PINCKNEY",
        "authorized_official_first_name": "DERRIK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-532-7458"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.