Integrity Wound Care MN PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INTEGRITY WOUND CARE MN PLLC

Practice address

4250 Creekside Way
Minnetrista, MN 55331-2142

Phone

(320) 582-7713

NPI assigned

Aug 23, 2023

Last updated

Aug 28, 2023By 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

Andrew Schock, PA-C

Title

President

Phone

(320) 582-7713

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1851175541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 CREEKSIDE WAY",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553312142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CREEKSIDE WAY",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553312142",
            "telephone_number": "320-582-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY WOUND CARE MN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SCHOCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-582-7713",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Rae Halverson, APRN-CNP
• Nicole Marie Hentges, RN, CNP
• Brian Hood
• Julie Humbert, LICSW
• Ind School Dist 277
• Bree Yaeger Jensen, DNP, APRN, CNP
• Chris J Johnson, M.D.
• Kinder Care Homecare Services
• Kindercare Homecare Services
• Kindercare Pca Services LLC

• Multi-Specialty Clinic/Center in Minnetrista, MN
• Providers in Minnetrista, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.