Kanabec-Pine Community Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

331159 Issued in MN

Legal business name

KANABEC-PINE COMMUNITY HEALTH

Practice address

905 Forest Ave E
Suite 127
Mora, MN 55051-1624

Phone

(320) 679-6330

Fax

(320) 679-6333

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy L. Thompson, DNP, MPH

Title

CHS Administrator

Phone

(320) 679-6322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1619374428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FOREST AVE E",
            "address_2": "SUITE 127",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511624",
            "telephone_number": "320-679-6330",
            "fax_number": "320-679-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FOREST AVE E",
            "address_2": "SUITE 127",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511624",
            "telephone_number": "320-679-6330",
            "fax_number": "320-679-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANABEC-PINE COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHS ADMINISTRATOR",
        "authorized_official_telephone_number": "320-679-6322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "331159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babitha Vargis Kallimel, MD
• Kanabec County (Timber Trails Public Transit)
• Kanabec County Family Services
• Kanabec County Family Services
• Kanabec County Public Health
• Caleb Kari, LADC
• Sara Renee Kennedy, MSW, LICSW
• Lindsey Carol Klar, FNP
• Julie A Koep, RN
• Erica Korte, PT, CLWT

• Public Health or Welfare Agency in Mora, MN
• Providers in Mora, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.