Headwaters Professionals' Billing Service

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HEADWATERS PROFESSIONALS' BILLING SERVICE

Practice address

4211 Minnkota Ave NW
Bemidji, MN 56601-6078

Phone

(218) 444-6127

Fax

(218) 444-6129

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lillian G Spilde

Title

Owner

Phone

(218) 444-6127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508806381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 MINNKOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016078",
            "telephone_number": "218-444-6127",
            "fax_number": "218-444-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 MINNKOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016078",
            "telephone_number": "218-444-6127",
            "fax_number": "218-444-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS PROFESSIONALS' BILLING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPILDE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-444-6127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary David Hazelton, D.D.S.
• Michael Wayne Headlee, D.C.
• Headwaters Chiropractic Center LLC
• Headwaters Dental
• Headwaters Nutrition Counseling
• Health Med Services
• Donna K Heck
• Bailee Jo Hedberg, MDT, RDH
• Colin Michael Heglund, M.A., LP
• Kaarn Heida, MD

• Specialist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.