Organization Active NPI

Regional Health Center of Avon, LLC

  • Chiropractor
  • Avon, MN
National Provider Identifier
1932368883
Registry record updated Jun 1, 2010
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 AVON, LLC
Practice address
300 Avon Ave S
Suite F
Avon, MN 56310-4528
Phone
(320) 356-1023
Fax
(320) 356-1033
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Jennifer Andrea Lourey Doll, DC
Title
President
Phone
(320) 597-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003166 MN Primary

Addresses

Primary practice location

300 Avon Ave S
Suite F
Avon, MN 56310-4528

Mailing address

PO Box 416
Avon, MN 56310-0416
Phone (320) 356-1023

National Provider Directory

National Provider Directory

Locations

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

307 Ivy Ave SE
Richmond, MN 56368
Phone (320) 321-0166

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1932368883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563100416",
            "telephone_number": "320-356-1023",
            "fax_number": "320-356-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVON AVE S",
            "address_2": "SUITE F",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563104528",
            "telephone_number": "320-356-1023",
            "fax_number": "320-356-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH CENTER OF AVON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LOUREY DOLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-597-8999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.