Williams/Integracare Clinic

LBN: Integracare Ltd
Williams/Integracare Clinic is an health care organization with primary practice located at 100 South 2Nd Street , Sartell MN 56377. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. 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 South 2Nd Street Sartell MN 56377
Phone: (320) 251-2600
Fax: (320) 251-4763
Website:
Map and Directions
Authorized official contact:
Name: Halstrom, Mark Randy Doctor of Medicine (MD)
Phone: (320) 251-2600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1491 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1491 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1491 Minnesota

Profile Details

NPI number 1982919395
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 Aug 10th, 2010
Last updated Jan 24th, 2019 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982919395 NPPES
Minnesota MEDICAID 079858400
Minnesota Other 1219767
Minnesota Other 31T18IN
Minnesota Other 1770646937
Minnesota Other 169318P539
Minnesota Other 1770646937
Minnesota Other 1770646937
Minnesota Other 1770646937
Minnesota Other 31T18IN
Minnesota Other CH3371
Minnesota Other 1770646937
Minnesota Other 1770646937
Minnesota Other 1770646937
Minnesota Other 9823046
Minnesota Other 1770646937

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