Northfield Hospital
Organization Active NPI Primary Care Clinic/Center · Lakeville, MN
NPI 1669685608 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1669685608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- NORTHFIELD HOSPITAL
- Practice address
- 9974 214TH St W
Lakeville, MN 55044-1913 - Phone
- (952) 469-0500
- Fax
- (952) 469-0505
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Eric Guth
- Title
- Cfo
- Phone
- (507) 646-1416
Other NPIs on the same Medicare enrollment 13
Other NPIs with the same Medicare PAC ID 7
Practitioners 129
-
Steven M Bradley, MD, MPH
-
Greg C Randall, MD
-
Brian Toby Schroeder, M.D.
-
Kyle J. Smisek, PA
-
Adam Donald Ailabouni, M.D.
-
Hayan Al Maluli, MD
-
Robert C Albright Jr., D.O.
-
Dean Steven Anderson, CRNA
-
Hans Carl Bengtson, M.D.
-
Kyle P Bertram, DO
-
Jennifer H Block, MD
-
Jennifer Jean Bormann, M.S., CCC-A
-
Victoria Paige Boss, PA-C
-
Christie Brockman, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000052 | MN | Part B Supplier - Clinic/Group Practice | 2567372998 |
Receives reassigned benefits from 249 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Northfield, MN; Farmington, MN; Kenyon, MN; Faribault, MN; Lakeville, MN |
| O20161108001096 | MN | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 2567372998 | Practice locations: Lakeville, MN |
National Provider Directory
Locations
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
225 Huseth St
Kenyon, MN 55946
Phone (507) 623-0123
Interoperability endpoints
- fhmclakeville@direct.northfieldhospital.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
9974 214TH St W
Lakeville, MN 55044-1913
Mailing address
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
Other names
- Northfield Hospital & Clinics - Lakeville Clinic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fhmclakeville@direct.northfieldhospital.md | Direct |
Other providers in Lakeville, MN
- Thomas A Niebeling
- Salena Ann Nikolaisen
- Alexis Kim Nivaud
- Riley Norris
- Northfield Hospital
- Northland Dental Partners, PLLC
- Northland Dental Partners, PLLC
- Northstar STS Transport LLC
- Noteable Music Therapy Services of MN, LLC
- Novacare Outpatient Rehabilitation East, Inc.
All providers in Lakeville, MN · Primary Care Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.