Organization Active NPI

Center for Natural Medicine PA

  • Clinic/Center
  • Winona, MN
National Provider Identifier
1689602401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3067 Issued in MN
Legal business name
CENTER FOR NATURAL MEDICINE PA
Practice address
902 E 2ND St
Suite 327
Winona, MN 55987-6354
Phone
(507) 452-6640
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory Wayne PetersonNPI 1598705667
Title
Owner
Phone
(507) 452-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3067 MN Primary

Addresses

Primary practice location

902 E 2ND St
Suite 327
Winona, MN 55987-6354

Mailing address

902 E 2ND St
Suite 327
Winona, MN 55987-6354
Phone (507) 452-6640

National Provider Directory

National Provider Directory

Locations

902 E 2nd St
Ste 327
Winona, MN 55987
Phone (507) 452-6640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689602401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST",
            "address_2": "SUITE 327",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876354",
            "telephone_number": "507-452-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST",
            "address_2": "SUITE 327",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876354",
            "telephone_number": "507-452-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NATURAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-452-6640"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.