Choice Healthcare of Minnesota

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A173908000 Issued in MN

Legal business name

CHOICE HEALTHCARE OF MINNESOTA

Practice address

130 7TH Ave N
Hopkins, MN 55343-7309

Phone

(612) 296-8095

Fax

(952) 933-2736

NPI assigned

Feb 21, 2008

Last updated

Feb 21, 2008By 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

Mrs. Amanda H Bies

Title

Services Administrator

Phone

(612) 296-8095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VJA Cooperative Services Former legal business name

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1740459932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 7TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437309",
            "telephone_number": "612-296-8095",
            "fax_number": "952-933-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 7TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437309",
            "telephone_number": "612-296-8095",
            "fax_number": "952-933-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE HEALTHCARE OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BIES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "612-296-8095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": "A173908000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A173908000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VJA Cooperative Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Kathryn Carkoski, MA CCC-SLP
• Casey J Oie Chiropractic PA (Blake Chiropractic)
• Center for Alternative Health and Chiropractic PA
• Gregory V Chamberlin, L.A.D.C
• Chemical Health Assessment Services
• Kylee Christian
• Zane Matthew Clark-Gold, DDS, MS
• Alyssa Cleereman, OTR/L
• Erin Elizabeth Cohler
• Companion Home and Community Services LLC

• Preferred Provider Organization in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Preferred Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.