Pine Point Health Station
Organization Active NPI Federal Public Health Clinic/Center · Ponsford, MN
NPI 1679587331 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1679587331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federal Public Health Clinic/Center 261QP0904X
- Legal business name
- PINE POINT HEALTH STATION
- Practice address
- 47520 Mashkiki St.
Ponsford, MN 56575 - Phone
- (218) 573-2162
- Fax
- (218) 573-3888
- NPI assigned
- Jul 28, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- WHITE EARTH INDIAN HEALTH CENTER
Authorized official
- Name
- Jocelyn Jackson
- Title
- Administrative Officer
- Phone
- (218) 983-4300
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 2
Practitioners 68
-
Hope L Adams, APRN,CNM
-
Michael E Bishop, DC, MPAS, MBA, PA-C
-
Kelsey Buelow, MOT
-
Alycia Heisler, MOT, OTR/L
-
Howard Ho, OD
-
Sandra J. Holmgren, GNP-C
-
Shahidali Nazmul Jaffer, M.D.
-
Steven W Jensen, PT
-
Jessie Marie Kier, DNP, APRN, FNP-BC
-
Hannah Lee, MD
-
Linda L Lohnes, APRN, CNP
-
Melissa McGuinness, DPT
-
Deanna T Pepper, RN, MSN, WHNP
-
Jenson Pan Phung, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040422000363 | TX | Part B Supplier - Clinic/Group Practice | 1658367925 |
Receives reassigned benefits from 52 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ponsford, MN; Ogema, MN; Mahnomen, MN |
National Provider Directory
- Part of
- Pine Point Health Station
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | Yes |
Addresses
Primary practice location
47520 Mashkiki St.
Ponsford, MN 56575
Mailing address
47520 Mashkiki St.
Ponsford, MN 56575
Phone (218) 573-2162
Other names
- White Earth Health Center
Other providers in Ponsford, MN
- Heather Lynn Graham
- Pat A Moran
- Pine Point Public School District #25
- White Earth Health Center
- Julie Ann Yliniemi
All providers in Ponsford, MN · Federal Public Health 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 Jul 7, 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.