NPIMap

Organization Active NPI

Northfield Hospital

Doing business as FamilyHealth Medical Clinic of Elko New Market

  • Primary Care Clinic/Center
  • Elko New Market, MN
National Provider Identifier
1437424322
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
356145 Issued in MN
Legal business name
NORTHFIELD HOSPITAL
Doing business as
FamilyHealth Medical Clinic of Elko New Market
Practice address
321 Main St
Elko New Market, MN 55054-5461
Phone
(952) 461-5200
NPI assigned
Mar 12, 2012
Reactivated
Jun 30, 2016
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Timothy L Gronseth
Title
Cfo
Phone
(507) 646-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 356145 MN Primary

Addresses

Primary practice location

321 Main St
Elko New Market, MN 55054-5461

Mailing address

321 Main St
Elko New Market, MN 55054-5461
Phone (952) 461-5200

Other names 1

  • FamilyHealth Medical Clinic of Elko New Market Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000052 MN Part B Supplier - Clinic/Group Practice 2567372998 Receives reassigned benefits from 249 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northfield, MN; Farmington, MN; Kenyon, MN; Faribault, MN; Lakeville, MN

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1437424322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ELKO NEW MARKET",
            "state": "MN",
            "postal_code": "550545461",
            "telephone_number": "952-461-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ELKO NEW MARKET",
            "state": "MN",
            "postal_code": "550545461",
            "telephone_number": "952-461-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2016-06-30",
        "deactivation_date": "2016-05-27",
        "reactivation_date": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "GRONSETH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-646-1416"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "356145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamilyHealth Medical Clinic of Elko New Market",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko New Market, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.