NPIMap

Organization Active NPI

Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Rochester, MN
National Provider Identifier
1780162552
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRESENCE TELEHEALTH PLLC
Practice address
5507 Chateau Rd NW
Rochester, MN 55901-0136
Phone
(651) 508-0936
NPI assigned
Aug 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Cooper Rendon, PA-CNPI 1003199068
Title
Ceo
Phone
(805) 698-8480

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5507 Chateau Rd NW
Rochester, MN 55901-0136

Mailing address

5507 Chateau Rd NW
Rochester, MN 55901-0136
Phone (805) 698-8480

Other practice location 1

7635 Addisen Path
Inver Grove Heights, MN 55077-4108
Phone (805) 698-8480

Other practice location 2

1232 S Oak Ave
Owatonna, MN 55060-3925
Phone (651) 508-0936

Other names 1

  • Compcare Occupational Medicine & Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181031000745 MN Part B Supplier - Clinic/Group Practice 9931452430 Receives reassigned benefits from 16 practitioners
Practice locations: Cottage Grove, MN; Eagan, MN; Faribault, MN; Lakeville, MN; Owatonna, MN; Rochester, MN

National Provider Directory

National Provider Directory

Locations

1030 Blue Gentian Rd
Eagan, MN 55121
Phone (651) 508-0936

1232 S Oak Ave
Ste 130
Owatonna, MN 55060
Phone (651) 508-0936

1232 S Oak Ave
Owatonna, MN 55060
Phone (651) 508-0936

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1780162552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 CHATEAU RD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010136",
            "telephone_number": "805-698-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 CHATEAU RD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010136",
            "telephone_number": "651-508-0936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7635 Addisen Path",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550774108",
            "country_code": "US",
            "telephone_number": "805-698-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1232 S Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550603925",
            "country_code": "US",
            "telephone_number": "651-508-0936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESENCE TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "COOPER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-698-8480",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compcare Occupational Medicine & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.