Organization Active NPI

Regional Health Center of Avon, Inc.

  • Chiropractor
  • Avon, MN
National Provider Identifier
1710128772
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003166 Issued in MN
Legal business name
REGIONAL HEALTH CENTER OF AVON, INC.
Practice address
300 Avon Ave S
Suite F
Avon, MN 56310-4528
Phone
(320) 356-1023
Fax
(320) 356-1033
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Jennifer Andrea Lourey Doll, D.C.
Title
President/Doctor
Phone
(320) 597-8999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 003166 MN Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 000299 MN
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 005167 MN

Addresses

Primary practice location

300 Avon Ave S
Suite F
Avon, MN 56310-4528

Mailing address

307 Ivy Ave SE
Richmond, MN 56368-4509
Phone (320) 597-8999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1710128772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 IVY AVE SE",
            "city": "RICHMOND",
            "state": "MN",
            "postal_code": "563684509",
            "telephone_number": "320-597-8999",
            "fax_number": "320-597-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVON AVE S",
            "address_2": "SUITE F",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563104528",
            "telephone_number": "320-356-1023",
            "fax_number": "320-356-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH CENTER OF AVON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LOUREY DOLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "320-597-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003166",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "000299",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "005167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.