INTEGRACARE LTD NPI 1982919395

NPI Information

NPI: 1982919395
Provider Name: INTEGRACARE LTD

Doing Business As: WILLIAMS/INTEGRACARE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 SOUTH 2ND STREET
SARTELL, MN
ZIP 56377
Phone: (320) 251-2600
Get Directions

INTEGRACARE LTD is a family medicine in Sartell, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTEGRACARE LTD NPI is 1982919395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Williams/integracare Clinic.

The provider's business location address is:

100 SOUTH 2ND STREET
SARTELL, MN
ZIP 56377
Phone: (320) 251-2600
Fax: (320) 251-4763

The provider's authorized official is Mark Randy Halstrom .
The authorized official title is Medical Director and has the following contact phone number (320) 251-2600.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 1/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	1491	MINNESOTA	Yes
2	225100000X	Physical Therapist	1491	MINNESOTA	No
3	363L00000X	Nurse Practitioner	1491	MINNESOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1770646937	OTHER	MINNESOTA	PREFERRED ONE
2	1770646937	OTHER	MINNESOTA	SELECT CARE
3	31T18IN	OTHER	MINNESOTA	BCBS
4	079858400	MEDICAID	MINNESOTA
5	1770646937	OTHER	MINNESOTA	UNICARE
6	169318P539	OTHER	MINNESOTA	UCARE
7	31T18IN	OTHER	MINNESOTA	CCS
8	1770646937	OTHER	MINNESOTA	HUMANA
9	1770646937	OTHER	MINNESOTA	AETNA
10	1770646937	OTHER	MINNESOTA	UNITED HEALTH CARE
11	CH3371	OTHER	MINNESOTA	RAILROAD MEDICARE
12	9823046	OTHER	MINNESOTA	MEDICA
13	1219767	OTHER	MINNESOTA	ARAZ
14	1770646937	OTHER	MINNESOTA	TRICARE
15	1770646937	OTHER	MINNESOTA	MMSI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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