Northfield Hospital
Organization Active NPI Primary Care Clinic/Center · Elko New Market, MN
NPI 1437424322 · NPPES record last updated Jun 30, 2016
Key facts
- NPI
- 1437424322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 356145 (MN)
- Legal business name
- NORTHFIELD HOSPITAL
- Practice address
- 321 Main St
Elko New Market, MN 55054-5461 - Phone
- (952) 461-5200
- NPI assigned
- Mar 12, 2012
- Reactivated
- Jun 30, 2016
- Organization subpart
- No
Authorized official
- Name
- Timothy L Gronseth
- Title
- Cfo
- Phone
- (507) 646-1416
Other NPIs on the same Medicare enrollment 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 356145 | MN | Yes |
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
- FamilyHealth Medical Clinic of Elko New Market
Other providers in Elko New Market, MN
- James D Buesgens
- Elko New Market Family Pharmacy, LLC
- Amy Rochelle Frantsi
- Briana Johnson
- Davonna Alexandria Marin
- Levenda Owanga
- Erin Claire Salaba
- Starlett Ann Thorson
- Triage Wellness Institute PA
All providers in Elko New Market, MN · Primary Care 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 Jun 30, 2016. 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.