NPIMap

Organization Active NPI

Paynesville Area Hospital District

Doing business as Eden Valley Watkins Medical Clinic

  • Critical Access Hospital Clinic/Center
  • Eden Valley, MN
National Provider Identifier
1811955859
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
905810900 Issued in MN
Legal business name
PAYNESVILLE AREA HOSPITAL DISTRICT
Doing business as
Eden Valley Watkins Medical Clinic
Practice address
405 Meeker Ave E
Eden Valley, MN 55329-1629
Phone
(320) 453-2260
Fax
(320) 453-2270
NPI assigned
May 1, 2006
Last updated
Mar 29, 2010By the provider in NPPES
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 905810900 MN Primary

Addresses

Primary practice location

405 Meeker Ave E
Eden Valley, MN 55329-1629

Mailing address

405 Meeker Ave E
PO Box 529
Eden Valley, MN 55329-1629
Phone (320) 453-2260

Other names 1

  • EDEN VALLEY WATKINS 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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1811955859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MEEKER AVE E",
            "address_2": "PO BOX 529",
            "city": "EDEN VALLEY",
            "state": "MN",
            "postal_code": "553291629",
            "telephone_number": "320-453-2260",
            "fax_number": "320-453-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MEEKER AVE E",
            "city": "EDEN VALLEY",
            "state": "MN",
            "postal_code": "553291629",
            "telephone_number": "320-453-2260",
            "fax_number": "320-453-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNESVILLE AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "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": "MN",
            "license": "905810900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDEN VALLEY WATKINS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Valley, 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.