Williams Integracare Clinic
LBN: Integracare Ltd
Williams Integracare Clinic is an health care organization with primary practice located at 100 2Nd St S , Sartell MN 56377-1977. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Integracare Ltd can be contacted via phone (320) 251-2600, or through Halstrom, Mark Randy via phone (320) 251-2600.
Contact Information
Primary practice address
100 2Nd St S
Sartell MN 56377-1977
Phone: (320) 251-2600
Fax: (320) 251-4763
Website:
Authorized official contact:
Name: Halstrom, Mark Randy Doctor of Medicine (MD)
Phone: (320) 251-2600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1770646937 |
|---|---|
| LBN Legal business name | Integracare Ltd |
| DBA Doing business as | Williams Integracare Clinic |
| Authorized official | Halstrom, Mark Randy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Aug 29th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770646937 | NPPES |
| Minnesota | Other | CH337 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 079858400 | RAILROAD MEDICARE |
| Minnesota | Other | 31T18IN | RAILROAD MEDICARE |
| Minnesota | Other | 70633 | RAILROAD MEDICARE |
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