Organization Active NPI

Regional Health Center of Richmond, Inc.

  • Chiropractor
  • Richmond, MN
National Provider Identifier
1902862592
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003166 Issued in MN
Legal business name
REGIONAL HEALTH CENTER OF RICHMOND, INC.
Practice address
307 Ivy Ave SE
Richmond, MN 56368
Phone
(320) 597-8999
Fax
(320) 597-8995
NPI assigned
Apr 24, 2006
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Jennifer Andrea Lourey, DCNPI 1134261597
Title
President/Owner
Phone
(203) 210-1663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003166 MN Primary

Addresses

Primary practice location

307 Ivy Ave SE
Richmond, MN 56368

Mailing address

307 Ivy Ave SE
Richmond, MN 56368
Phone (320) 597-8999

Other identifiers 6

IdentifierTypeStateIssuer
411508205OtherAETNA & SIGNA PREFERRED O
647220600OtherMEDICAL ASSISTANCE
31G09SPOtherBLUE CROSS BLUE SHIELD GR
31G09SPOtherBLUE CROSS BLUE SHIELD
1016069OtherHEALTH SERVICE MANAGEMENT
350049912OtherRAILROAD MEDICARE

Other names 1

  • Spicer Health Center, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060201000014 MN Part B Supplier - Clinic/Group Practice 1951315738 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, MN

National Provider Directory

National Provider Directory

Locations

300 Avon Ave S
#F
Avon, MN 56310
Phone (320) 356-1023

217 Main St
Cold Spring, MN 56320
Phone (320) 685-8999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1902862592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 IVY AVE SE",
            "city": "RICHMOND",
            "state": "MN",
            "postal_code": "56368",
            "telephone_number": "320-597-8999",
            "fax_number": "320-597-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 IVY AVE SE",
            "city": "RICHMOND",
            "state": "MN",
            "postal_code": "56368",
            "telephone_number": "320-597-8999",
            "fax_number": "320-597-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH CENTER OF RICHMOND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "LOUREY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "203-210-1663",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA & SIGNA PREFERRED O",
            "identifier": "411508205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "647220600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "31G09SP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31G09SP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICE MANAGEMENT",
            "identifier": "1016069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350049912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spicer Health Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Spicer Health Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richmond, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.