NPIMap

Organization Active NPI

MH Health Care Services, PC

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1609417757
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
MH HEALTH CARE SERVICES, PC
Practice address
1145 Homer St
Saint Paul, MN 55116-3231
Phone
(612) 426-3771
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Dr. Terry Layman, MD
Title
Corporate Medical Officer
Phone
(317) 727-6898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

1145 Homer St
Saint Paul, MN 55116-3231

Mailing address

20 Winooski Falls Way Ste 475
Winooski, VT 05404-2277
Phone (802) 857-0400

Other names 1

  • Johnson Brothers Health Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2124877Johnson Brothers Health Center1145 Homer Street, Saint Paul, MN 55116Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
MH Health Care Services PC151 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1145 Homer St
Saint Paul, MN 55116
Phone (612) 426-3771

1999 Shepard Rd
Saint Paul, MN 55116

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1609417757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY STE 475",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042277",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 HOMER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163231",
            "telephone_number": "612-426-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HEALTH CARE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CORPORATE MEDICAL OFFICER",
        "authorized_official_telephone_number": "317-727-6898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Brothers Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Johnson Brothers Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.