Provider Demographics
NPI:1639274137
Name:NORTHERN ARM & HAND CENTER, INC.
Entity Type:Organization
Organization Name:NORTHERN ARM & HAND CENTER, INC.
Other - Org Name:TURNING POINT THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIELAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CHT
Authorized Official - Phone:218-728-3774
Mailing Address - Street 1:1420 LONDON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2433
Mailing Address - Country:US
Mailing Address - Phone:218-728-3774
Mailing Address - Fax:218-728-3640
Practice Address - Street 1:1420 LONDON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2433
Practice Address - Country:US
Practice Address - Phone:218-728-3774
Practice Address - Fax:218-728-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1049225100000X
MN7699225100000X
MN7979225100000X
MN17342251H1200X
MN102280225X00000X
MN102903225X00000X
MN101379225X00000X
MN102309225XH1200X
MN101418225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN42B46NOOtherBCBS MINNESOTA GROUP
WI41222100Medicaid
MN32B70NOOtherBCBS OF MINNESOTA GROUP
MN671517600Medicaid
MN37B96NOOtherBCBS MINNESOTA DME
MN508372900Medicaid
MN32B70NOOtherBCBS OF MINNESOTA GROUP
MN37B96NOOtherBCBS MINNESOTA DME