NPIMap

Organization Active NPI

Perham Hospital District

Doing business as Perham Health New York Mills Clinic

  • Family Medicine Physician
  • New York Mills, MN
National Provider Identifier
1801176268
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PERHAM HOSPITAL DISTRICT
Doing business as
Perham Health New York Mills Clinic
Practice address
20 W Centennial 84 Drive
New York Mills, MN 56567-0364
Phone
(218) 385-1800
Fax
(218) 385-1830
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Martha Leclerc
Title
Vice President
Phone
(701) 234-6248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

20 W Centennial 84 Drive
New York Mills, MN 56567-0364

Mailing address

20 W Centennial 84 Drive
PO Box D
New York Mills, MN 56567-0364
Phone (218) 385-1800

Other names 1

  • Perham Health New York Mills Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Perham Memorial Hosp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1801176268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CENTENNIAL 84 DRIVE",
            "address_2": "PO BOX D",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565670364",
            "telephone_number": "218-385-1800",
            "fax_number": "218-385-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CENTENNIAL 84 DRIVE",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565670364",
            "telephone_number": "218-385-1800",
            "fax_number": "218-385-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERHAM HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "LECLERC",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "701-234-6248"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perham Health New York Mills Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York Mills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.