NPIMap

Organization Active NPI

Paynesville Area Hospital District

  • Critical Access Hospital Clinic/Center
  • Paynesville, MN
National Provider Identifier
1902864259
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
PAYNESVILLE AREA HOSPITAL DISTRICT
Doing business as
PAYNESVILLE MEDICAL CLINIC
Practice address
200 W 1St St
Paynesville, MN 56362-1445
Phone
(320) 243-3767
Fax
(320) 243-7519
NPI assigned
May 3, 2006
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 Primary

Addresses

Primary practice location

200 W 1St St
Paynesville, MN 56362-1445

Mailing address

200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3767

Other identifiers 5

IdentifierTypeStateIssuer
31147OtherHEALTH PARTNERS
724223900MedicaidMN
P128OtherUCARE
030722027OtherPRIMEWEST
4T914PAOtherBCBS

Other names 1

  • PAYNESVILLE 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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1902864259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621445",
            "telephone_number": "320-243-3767",
            "fax_number": "320-243-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621445",
            "telephone_number": "320-243-3767",
            "fax_number": "320-243-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNESVILLE AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "31147",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724223900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "P128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "030722027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4T914PA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAYNESVILLE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paynesville, 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.