Healthcare Provider Details

I. General information

NPI: 1114028503
Provider Name (Legal Business Name): MED-PLUS HEALTH CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 S FRONTAGE RD STE 3
MOORHEAD MN
56560-2571
US

IV. Provider business mailing address

2921 S FRONTAGE RD STE 3
MOORHEAD MN
56560-2571
US

V. Phone/Fax

Practice location:
  • Phone: 218-233-8544
  • Fax: 218-233-8545
Mailing address:
  • Phone: 218-233-8544
  • Fax: 218-233-8545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1896
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6503
License Number StateMN

VIII. Authorized Official

Name: JACE FOSS
Title or Position: CHIEF MANAGER/OWNER
Credential: DC
Phone: 218-233-8544