| Riverview Healthcare Association | |
|
323 S Minnesota St Crookston MN 56716-1601 | |
| (800) 743-6551 | |
| (218) 281-9509 |
| Full Name | Riverview Healthcare Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 323 S Minnesota St, Crookston, Minnesota |
| Authorized Official Name and Position | Betty Arvidson (CFO) |
| Authorized Official Contact | 2182819756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Healthcare Association 323 S Minnesota St Crookston MN 56716-1601 Ph: (218) 281-9200 | Riverview Healthcare Association 323 S Minnesota St Crookston MN 56716-1601 Ph: (800) 743-6551 |
| NPI Number | 1487944898 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 7810806718 |
|---|---|
| Medicare Enrollment ID | O20060505000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487944898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Matthew Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386696870 PECOS PAC ID: 7810885613 Enrollment ID: I20040304000810 |
| Provider Name | Mathew L Stayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548217268 PECOS PAC ID: 0547241531 Enrollment ID: I20060306000729 |
| Provider Name | Emad Fahmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699724930 PECOS PAC ID: 1254375769 Enrollment ID: I20060818000033 |
| Provider Name | Paul C Allegra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013030097 PECOS PAC ID: 8224136759 Enrollment ID: I20070607000273 |
| Provider Name | William Keig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598724643 PECOS PAC ID: 4981517018 Enrollment ID: I20100603000475 |
| Provider Name | Kevin P Murphy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912019415 PECOS PAC ID: 7113823618 Enrollment ID: I20100608000931 |
| Provider Name | Clifford A Chapin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891776019 PECOS PAC ID: 2860481538 Enrollment ID: I20100928001525 |
| Provider Name | Doron M Spierer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356654388 PECOS PAC ID: 1456547561 Enrollment ID: I20101130001425 |
| Provider Name | Evans Magambo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881824407 PECOS PAC ID: 3476709825 Enrollment ID: I20120817000319 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Karl O Koivisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962931451 PECOS PAC ID: 5496023459 Enrollment ID: I20200806001118 |
| Provider Name | Forrest V Laporte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786207 PECOS PAC ID: 0941626204 Enrollment ID: I20200817003457 |
| Provider Name | Heather Lynn Waldal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629777 PECOS PAC ID: 3779990072 Enrollment ID: I20210405000662 |
| Provider Name | Luke A. Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891145983 PECOS PAC ID: 8527484203 Enrollment ID: I20211130001790 |
| Provider Name | Kessiena Aya |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588047096 PECOS PAC ID: 7911398896 Enrollment ID: I20220104000770 |
| Provider Name | Laura Macnow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578610937 PECOS PAC ID: 6305923806 Enrollment ID: I20240322003803 |
| Provider Name | Justin Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720674203 PECOS PAC ID: 6507229564 Enrollment ID: I20241030000068 |
| Provider Name | Linda Sturtevant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184673345 PECOS PAC ID: 1456349836 Enrollment ID: I20250114002109 |
| Provider Name | Nathan Stratton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508449448 PECOS PAC ID: 1254873177 Enrollment ID: I20250115000833 |
| Provider Name | Jennifer B Dotseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679334650 PECOS PAC ID: 5395274666 Enrollment ID: I20250131000334 |
| Provider Name | Jermaine D Bridges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851612139 PECOS PAC ID: 7113167032 Enrollment ID: I20250320000686 |
| Provider Name | Sarah Rudnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710574306 PECOS PAC ID: 5294140315 Enrollment ID: I20250407001167 |
| Provider Name | Matthew Soff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720053044 PECOS PAC ID: 4789641929 Enrollment ID: I20250527001118 |
Altru Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 Fax: 218-281-9189 |