Northome-Tealwood Transportation

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

NORTHOME-TEALWOOD TRANSPORTATION

Practice address

11995 Main Street
Northome, MN 56661

Phone

(218) 897-5235

NPI assigned

Feb 20, 2007

Last updated

Aug 22, 2020By 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

Howie Groff

Title

President

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811032964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 MAIN STREET",
            "city": "NORTHOME",
            "state": "MN",
            "postal_code": "56661",
            "telephone_number": "218-897-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 MAIN STREET",
            "city": "NORTHOME",
            "state": "MN",
            "postal_code": "56661",
            "telephone_number": "218-897-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHOME-TEALWOOD TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12G08TE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8120872",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "123157",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cook Area Health Services, Inc (Scenic Rivers Health Services)
• Northome Healthcare Center, Inc
• Shannon C Pitt, FNP-C
• South Koochiching Isd 363
• Carol A Thurlby, PT

• Private Vehicle in Northome, MN
• Providers in Northome, MN by specialty
• Private Vehicle in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.