Woodland Foster Care

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1091352 Issued in MN

Legal business name

WOODLAND FOSTER CARE

Practice address

18453 17TH Ave E
Clearwater, MN 55320-1613

Phone

(320) 558-6996

NPI assigned

Jan 25, 2018

Last updated

Jan 25, 2018By 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

Ross Corrigan

Title

Owner

Phone

(320) 309-8549

Specialties & licenses 1

Addresses

Other names 1

• Woodland Foster Care LLC Other name

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1679071641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18453 17TH AVE E",
            "city": "CLEARWATER",
            "state": "MN",
            "postal_code": "553201613",
            "telephone_number": "320-558-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18453 17TH AVE E",
            "city": "CLEARWATER",
            "state": "MN",
            "postal_code": "553201613",
            "telephone_number": "320-558-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-309-8549"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1091352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Foster Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Rahm, M.D.
• Dylan Schafer
• Deanna Schmidt, PA-C
• Lisa Marie Vait, LADC
• Kristen Wikman, RN

• Foster Care Agency in Clearwater, MN
• Providers in Clearwater, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.