Premise Health of Minnesota Medical P C

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMISE HEALTH OF MINNESOTA MEDICAL P C

Practice address

709 23Rd Ave
Two Harbors, MN 55616-3501

Phone

(218) 510-6001

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Edward William Schwartz

Title

President

Phone

(844) 407-7557

Specialties & licenses 1

Addresses

Other names 1

• LP Health Center-Two Harbors Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Be Well Health Center-St Cloud5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Premise Health of Minnesota Medical P C

  • Multi-Specialty Clinic/Center
  • Austin, MN
  • NPI 1184250060
  NPD tax ID
• Premise Health of Minnesota Medical P C

  • Multi-Specialty Clinic/Center
  • Edina, MN
  • NPI 1699376756
  NPD tax ID
• Premise Health of Minnesota Medical PC

  • Urgent Care Clinic/Center
  • Saint Cloud, MN
  • NPI 1861838450
  NPD tax ID
• Premise Health of Minnesota Medical PC

  • Multi-Specialty Clinic/Center
  • Fridley, MN
  • NPI 1871079897
  NPD tax ID

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1386367100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 23RD AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556163501",
            "telephone_number": "218-510-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF MINNESOTA MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LP Health Center-Two Harbors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul M Trygstad
• Ayla Peterson
• Thomas Andrew Peterson, M.D.
• Amy Lynn Phipps-Poe, P.T.
• Heather Pipes, LPMA
• Adriana Quadhamer
• Carie Ann Radabaugh, RDH
• John Byron Radzak
• Kathleen Faye Ray, RN
• Shana Lea Roberts, MSW, LICSW

• All providers in Two Harbors, MN
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.