DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STELLIS HEALTH, PA

MEDICARE: STELLIS HEALTH, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center520MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184664674
Entity Type Code : Organization
Provider Name (Legal Business Name) : STELLIS HEALTH, PA
Provider Business Mailing Address
First Line : 1700 HIGHWAY 25 N
Second Line :
City : BUFFALO
State : MN
Zip : 55313-1930
Country : US
Telephone Number : 763-682-1313
Fax Number : 763-684-3790
Provider Business Practice Location Address
First Line : 1700 HIGHWAY 25 N
Second Line :
City : BUFFALO
State : MN
Zip : 55313-1930
Country : US
Telephone Number : 763-682-1313
Fax Number : 763-684-3790
Authorized Official
Title or Position : PRESIDENT
Name : DR. JASON S HALVORSON
Credential : MD
Telephone Number : 763-295-2921
Provider Enumeration Date : 06/07/2006
Last Update Date : 08/12/2016

Similar Medicare Providers

1255337978 — CHARLES MICHAEL YANCEY MD, PHD
Practice Location Address:
1700 HIGHWAY 25 N
BUFFALO, MN
55313-1930
Practice Phone: 763-682-9241
Practice Fax: 763-684-1040
1043277957 — ANNE ELEANOR SELTZ MA CCCA
Practice Location Address:
1700 HIGHWAY 25 N
BUFFALO, MN
55313-1930
Practice Phone: 612-824-9701
Practice Fax:
1013969518 — DR. KELLY GAIL KINNAN M.D.
Practice Location Address:
1700 HIGHWAY 25 N
BUFFALO, MN
55313-1930
Practice Phone: 763-682-1313
Practice Fax:
1700816378 — DR. KARI J FABIAN M.D.
Practice Location Address:
1700 HIGHWAY 25 N
BUFFALO, MN
55313-1930
Practice Phone: 763-682-1313
Practice Fax: 763-581-9090
1316972763 — BRIAN L YOST PAC
Practice Location Address:
1700 HIGHWAY 25 N
BUFFALO, MN
55313-1930
Practice Phone: 763-682-1313
Practice Fax:
1306864368 — MR. ANTHONY LESCH PA-C
Practice Location Address:
1700 HIGHWAY 25 N
BUFFALO, MN
55313-1930
Practice Phone: 763-682-1313
Practice Fax:

Directions to “STELLIS HEALTH, PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.