C10202017363071

ActiveOrganizationSpecialty not listed
NPI issued: October 23, 2017

Quick Facts

NPI Number
1134630734
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy324500000X — Specialty not listed
Phone
(763) 658-5800
StateMN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1134630734)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 23, 2017)
Data source: CMS NPPES

Provider Overview

C10202017363071 is a Healthcare provider based in Waverly, MN who has been registered with CMS since 2017. They are affiliated with Eosis. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1134630734
Provider TypeOrganization
StatusActive
Enumeration DateOctober 23, 2017

Practice Location

CityWaverly
StateMN
ZIP Code55390
Phone(763) 658-5800

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code324500000X
License StateMN

Mailing Address

CityWaverly
StateMN
ZIP Code55390
Phone(763) 658-5800
Same as practice location

Hospital & Organization Affiliations

🏢

Eosis

📍 ,

How to Use This NPI

📋

For Insurance Billing

Use NPI 1134630734 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1134630734for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1134630734 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
📊
9,482
Specialty not listed Providers in the US

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People Also Ask

What is C10202017363071's NPI number?
C10202017363071's NPI number is 1134630734, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is C10202017363071's NPI currently active?
Yes, C10202017363071's NPI status is Active as of the latest CMS NPPES database updates.
What does C10202017363071 specialize in?
C10202017363071 specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 324500000X.
Where does C10202017363071 practice?
C10202017363071 practices in Waverly, MN 55390.
When was C10202017363071's NPI issued?
C10202017363071's NPI was issued on October 23, 2017.
What is C10202017363071's provider type?
C10202017363071 is registered as an Organization under CMS NPI Type 2.