Appleton Area Health
Organization Active NPI Clinic/Center · Hancock, MN
NPI 1972496917 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1972496917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- APPLETON AREA HEALTH
- Practice address
- 657 Atlantic Ave
Hancock, MN 56244-2104 - Phone
- (320) 289-1580
- Fax
- (320) 289-8536
- NPI assigned
- May 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Gregory Duane Miner
- Title
- Ceo
- Phone
- (320) 289-1580
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 4
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2325231 | Appleton Area Health Hancock Clinic | Certificate of waiver | Jun 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060818000114 | MN | Part B Supplier - Clinic/Group Practice | 7618952565 |
Receives reassigned benefits from 28 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Appleton, MN; Hancock, MN |
National Provider Directory
- Tax ID family
- Appleton Municipal Hospital
Locations
657 Atlantic Ave
Hancock, MN 56244
Phone (320) 289-1580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
657 Atlantic Ave
Hancock, MN 56244-2104
Mailing address
30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-2422
Other names
- Appleton Area Health Hancock Clinic
Other providers in Hancock, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.