| 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 | () | Primary |
| Provider Name | David M Schall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932170057 PECOS PAC ID: 7416869805 Enrollment ID: I20031104000339 |
| Provider Name | Colin W Fennell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356313480 PECOS PAC ID: 7517853617 Enrollment ID: I20040225000839 |
| Provider Name | Matthew Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386696870 PECOS PAC ID: 7810885613 Enrollment ID: I20040304000810 |
| Provider Name | Erik J Kanten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679593206 PECOS PAC ID: 0840193934 Enrollment ID: I20040630000110 |
| Provider Name | Panjini M Sivanna |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013948116 PECOS PAC ID: 7315843596 Enrollment ID: I20040708000425 |
| Provider Name | Brett K Vibeto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891721841 PECOS PAC ID: 2769419142 Enrollment ID: I20050719000166 |
| Provider Name | Mathew L Stayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548217268 PECOS PAC ID: 0547241531 Enrollment ID: I20060306000729 |
| Provider Name | Noah N Chelliah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952485740 PECOS PAC ID: 9032166038 Enrollment ID: I20061205000606 |
| Provider Name | Chad Eugene Boen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215034095 PECOS PAC ID: 9133117443 Enrollment ID: I20070205000622 |
| Provider Name | Olatubosun B Fashoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700823598 PECOS PAC ID: 7517064793 Enrollment ID: I20070523000208 |
| Provider Name | Paul C Allegra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013030097 PECOS PAC ID: 8224136759 Enrollment ID: I20070607000273 |
| Provider Name | Matthew Byrnes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063545317 PECOS PAC ID: 9739280603 Enrollment ID: I20070723000049 |
| Provider Name | Kimberly J Haycraft-schmotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306800107 PECOS PAC ID: 7810073855 Enrollment ID: I20080331000428 |
| Provider Name | Gary a Matthys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922025568 PECOS PAC ID: 4082514765 Enrollment ID: I20080718000435 |
| Provider Name | Erika Beckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861649071 PECOS PAC ID: 9638230279 Enrollment ID: I20081202000100 |
| Provider Name | Ram Prasad Paneru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740457902 PECOS PAC ID: 7719043926 Enrollment ID: I20090312000344 |
| Provider Name | Matthew S Viscito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497969570 PECOS PAC ID: 9537227079 Enrollment ID: I20090324000554 |
| Provider Name | Kari D Wessman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235150574 PECOS PAC ID: 6800948431 Enrollment ID: I20090713000587 |
| Provider Name | Brent a Kaiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376871475 PECOS PAC ID: 4880723097 Enrollment ID: I20100526001077 |
| 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 | Sunny S Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114989555 PECOS PAC ID: 3971506577 Enrollment ID: I20110113000443 |
| Provider Name | Hamid Abbasi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932303526 PECOS PAC ID: 6507937588 Enrollment ID: I20120213000096 |
| Provider Name | Jermey J Eversvik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437345295 PECOS PAC ID: 7618062480 Enrollment ID: I20120316000592 |
| Provider Name | Matthew S Massmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215292750 PECOS PAC ID: 4789831207 Enrollment ID: I20120905000587 |
| Provider Name | Arveity R Setty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174755615 PECOS PAC ID: 2769623032 Enrollment ID: I20130729000979 |
| Provider Name | Mary K Holm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477583664 PECOS PAC ID: 0446349153 Enrollment ID: I20131018000413 |
| Provider Name | Natalie R Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457636003 PECOS PAC ID: 4688831167 Enrollment ID: I20140414000009 |
| Provider Name | Joe E Dib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700820933 PECOS PAC ID: 6507928512 Enrollment ID: I20141205001258 |
| Provider Name | Rebekah J Aakre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134538911 PECOS PAC ID: 8022237148 Enrollment ID: I20141213000255 |
| Provider Name | Tia M Gullickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992187868 PECOS PAC ID: 0749593804 Enrollment ID: I20150717001787 |
| Provider Name | Vinita J Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780842963 PECOS PAC ID: 0749474096 Enrollment ID: I20160413000732 |
| Provider Name | Matthew a Hallanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023451689 PECOS PAC ID: 4789998246 Enrollment ID: I20160803002320 |
| Provider Name | Casey B Wangen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659820116 PECOS PAC ID: 6204124019 Enrollment ID: I20161011002270 |
| Provider Name | Bethany J Staehnke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821470907 PECOS PAC ID: 1850646993 Enrollment ID: I20180614000012 |
| Provider Name | Todd Dale Sekundiak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780634568 PECOS PAC ID: 7719901982 Enrollment ID: I20190408001505 |
| Provider Name | Hannah Reski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598224321 PECOS PAC ID: 0345573861 Enrollment ID: I20190614000366 |
| Provider Name | Benjamin Andrew Kitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750776530 PECOS PAC ID: 2860706033 Enrollment ID: I20190709000318 |
| 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 | Lauren Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366977340 PECOS PAC ID: 2365710175 Enrollment ID: I20210729001002 |
| Provider Name | Riley Hermreck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700533775 PECOS PAC ID: 8224425434 Enrollment ID: I20220418001435 |
| Provider Name | Marisa Albertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710117312 PECOS PAC ID: 4486805736 Enrollment ID: I20220512000165 |
| Provider Name | Lisa Danielle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609553791 PECOS PAC ID: 5092179648 Enrollment ID: I20230914002321 |
| Provider Name | Dominic Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518542810 PECOS PAC ID: 8527417922 Enrollment ID: I20231211002528 |
| Provider Name | Jared Phelps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700293354 PECOS PAC ID: 8426351263 Enrollment ID: I20231220002778 |
| Provider Name | Justin Travis Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720674203 PECOS PAC ID: 6507229564 Enrollment ID: I20241030000068 |
| Provider Name | Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811635014 PECOS PAC ID: 1759814692 Enrollment ID: I20241030001938 |
| Provider Name | Edmond Irankunda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215432562 PECOS PAC ID: 6709132855 Enrollment ID: I20241118003909 |
| 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 | Erica Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316207046 PECOS PAC ID: 3870865769 Enrollment ID: I20250305003044 |
| 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 |
| Provider Name | Israel Mostafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811647357 PECOS PAC ID: 6103204235 Enrollment ID: I20250630000617 |
| Provider Name | Comfort Olayioye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740930221 PECOS PAC ID: 8527592237 Enrollment ID: I20250711001342 |
| Provider Name | Ian Glidden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639752926 PECOS PAC ID: 7911414966 Enrollment ID: I20250725001607 |
| Provider Name | Rachel Lattner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811439086 PECOS PAC ID: 8527343128 Enrollment ID: I20260428002583 |
| Provider Name | Kimberly Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760097026 PECOS PAC ID: 2860839073 Enrollment ID: I20260508001771 |
Altru Clinic Crookston Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 Fax: 218-281-9189 |