NPIMap

Organization Active NPI

Paynesville Area Hospital District

  • Critical Access Hospital Clinic/Center
  • Belgrade, MN
National Provider Identifier
1750339818
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
PAYNESVILLE AREA HOSPITAL DISTRICT
Doing business as
EASTSIDE MEDICAL CLINIC
Practice address
505 Nelson Ave
Belgrade, MN 56312
Phone
(320) 254-8241
Fax
(320) 254-3771
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Bobbe Teigen
Title
Ceo
Phone
(320) 243-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary

Addresses

Primary practice location

505 Nelson Ave
Belgrade, MN 56312

Mailing address

505 Nelson Ave
PO Box 364
Belgrade, MN 56312
Phone (320) 254-8241

Other names 1

  • EASTSIDE MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1750339818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NELSON AVE",
            "address_2": "PO BOX 364",
            "city": "BELGRADE",
            "state": "MN",
            "postal_code": "56312",
            "telephone_number": "320-254-8241",
            "fax_number": "320-254-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NELSON AVE",
            "city": "BELGRADE",
            "state": "MN",
            "postal_code": "56312",
            "telephone_number": "320-254-8241",
            "fax_number": "320-254-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNESVILLE AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "TEIGEN",
        "authorized_official_first_name": "BOBBE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-243-3767"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTSIDE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belgrade, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.