Great River Spine & Sport

LBN: Integrated Care Clinics, Pa
Great River Spine & Sport is an health care organization with primary practice located at 1260 Highway 25 S , Monticello MN 55362-8921. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Family. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Integrated Care Clinics, Pa can be contacted via phone (763) 260-8401, or through Mickle, Bill E via phone (763) 260-8401.

Contact Information

Primary practice address
1260 Highway 25 S Monticello MN 55362-8921
Phone: (763) 260-8401
Fax: (763) 295-2208
Website:
Map and Directions
Authorized official contact:
Name: Mickle, Bill E Doctor of Chiropractic (DC)
Phone: (763) 260-8401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 44760 Minnesota
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 44760 Minnesota
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 44760
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 44760 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8397 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R182757-0 Minnesota

Profile Details

NPI number 1396775110
LBN Legal business name Integrated Care Clinics, Pa
DBA Doing business as Great River Spine & Sport
Authorized official Mickle, Bill E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 18th, 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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