Active NPI
Firstsolutions
Doing business as SuperiorHealth Center
- Clinic/Center
- Proctor, MN
National Provider Identifier
1902833874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FIRSTSOLUTIONS
- Doing business as
- SuperiorHealth Center
- Practice address
- 211 S Boundary Ave
Proctor, MN 55810-2306 - Phone
- (218) 624-4819
- Fax
- (218) 624-7323
- NPI assigned
- Jun 27, 2006
- Last updated
- May 14, 2010
- Organization subpart
- Yes
- Parent organization
- FIRSTSOLUTIONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terry R Jacobson
- Title
- Ceo
- Phone
- (218) 740-2330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
211 S Boundary Ave
Proctor, MN 55810-2306
Mailing address
211 S Boundary Ave
Proctor, MN 55810-2306
Phone (218) 624-4819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558210500 | Medicaid | MN |
Other names 1
- SuperiorHealth Center
National Provider Directory
National Provider Directory- Part of
- First Plan of Minnesota
Locations
4621 E Superior St
Duluth, MN 55804
Phone (218) 786-3550
2202 E 2nd St
Ste 377
Superior, WI 54880
Phone (715) 817-7990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273795200000",
"number": "1902833874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S BOUNDARY AVE",
"city": "PROCTOR",
"state": "MN",
"postal_code": "558102306",
"telephone_number": "218-624-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S BOUNDARY AVE",
"city": "PROCTOR",
"state": "MN",
"postal_code": "558102306",
"telephone_number": "218-624-4819",
"fax_number": "218-624-7323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTSOLUTIONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIRSTSOLUTIONS",
"enumeration_date": "2006-06-27",
"last_updated": "2010-05-14",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "218-740-2330",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558210500",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SuperiorHealth Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Proctor, MN
- FCSL Proctor, LLC (Diamond Willow Assisted Living of Proctor)
- FCSL Proctor, LLC (Diamond Willow Assisted Living of Proctor)
- FCSL Proctor, LLC (Diamond Willow Assisted Living of Proctor)
- Firstsolutions (SuperiorHealth Center)
- Firstsolutions (SuperiorHealth Center)
- Kelly A Geraghty, PT
- Jessica A Gerlach, CNP
- Golden Oaks Advanced Assisted Living Plus - Proctor
- Abigail Lynn Haugen
- Thomas James Heinitz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.