Pohl Childrens Scholarship Foundation LLC

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

Legal business name

POHL CHILDRENS SCHOLARSHIP FOUNDATION LLC

Practice address

13021 Evergreen Drive
Baxter, MN 56425

Phone

(218) 820-1176

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Suzanne Marie Pohl

Title

Owner / Executive Director

Phone

(218) 820-1176

Specialties & licenses 1

Addresses

Other names 1

• Pohl Children's Pediatric Hospice Doing business as

Locations

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1669124137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 EVERGREEN DRIVE",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 EVERGREEN DRIVE",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-820-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POHL CHILDRENS SCHOLARSHIP FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-820-1176"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pohl Children's Pediatric Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Hospice and Palliative Medicine Physician in Baxter, MN
• Providers in Baxter, MN by specialty
• Pediatric Hospice and Palliative Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.