Presence Telehealth PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRESENCE TELEHEALTH PLLC

Practice address

1575 20TH St NW Ste 103
Faribault, MN 55021-2932

Phone

(651) 508-0936

NPI assigned

Jun 14, 2023

Organization subpart

Yes

Parent organization

PRESENCE TELEHEALTH PLLCAs reported in NPPES

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

Authorized official

Name

Cooper L Rendon, PA-CNPI 1003199068

Title

Ceo

Phone

(805) 698-8480

Specialties & licenses 1

Addresses

Other names 1

• Compcare Urgent Care Faribault 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

Presence Telehealth PLLC5 organizations share this tax ID, including this one

Part of

Presence Telehealth PLLC

Other organizations with this tax ID 4

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

• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Cottage Grove, MN
  • NPI 1003590423
  NPD tax ID
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Eagan, MN
  • NPI 1093499428
  NPD tax ID
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Lakeville, MN
  • NPI 1801570239
  NPD tax ID
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Owatonna, MN
  • NPI 1962186395
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Rochester, MN
  • NPI 1780162552
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cooper L Rendon, PA-C

  • Occupational Medicine Physician
  • Inver Grove Heights, MN
  • NPI 1003199068
  NPD (past) Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1447934872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 103",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212932",
            "telephone_number": "651-508-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 103",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212932",
            "telephone_number": "651-508-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE TELEHEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE TELEHEALTH PLLC",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "COOPER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-698-8480",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compcare Urgent Care Faribault",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Faribault, MN
• Providers in Faribault, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.