Rooted Health Pllc

LBN: Rooted Health Pllc
Rooted Health Pllc is an health care organization with primary practice located at 3620 Bemidji Ave N , Bemidji MN 56601-4333. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rooted Health Pllc can be contacted via phone (320) 249-6541, or through Gross, Jenna M via phone (320) 249-6541.

Contact Information

Primary practice address
3620 Bemidji Ave N Bemidji MN 56601-4333
Phone: (320) 249-6541
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gross, Jenna M Nurse Practitioner (NP)
Phone: (320) 249-6541

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1679334817
LBN Legal business name Rooted Health Pllc
DBA Doing business as
Authorized official Gross, Jenna M Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2024
Last updated Jan 16th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679334817 NPPES
Minnesota MEDICAID 1629451869

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