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PERHAM HEALTH
NPI 1457631814
Family Medicine in Perham, MN

Active since August 17, 2011CLIA 24D0855743 · Waiver
665 3RD ST SW, PERHAM, MN 56573(218) 347-1200(218) 346-4043 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Perham Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERHAM HEALTH (NPI 1457631814) is a healthcare organization registered as a family medicine in Perham, Minnesota and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1457631814
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePERHAM HOSPITAL DISTRICT
Location Address665 3RD ST SWPerham, MN 56573-1199
Mailing Address665 3rd St SwPerham, MN 56573-1199 · (218) 347-1200 · Fax (218) 346-4043
Phone(218) 347-1200
Fax(218) 346-4043
Organization SubpartNo
Authorized OfficialMartha LeclercVice President · (701) 234-6248
Enumeration DateAugust 17, 2011
✔ NPI 1457631814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
665 3RD ST SW, Perham, MN 56573
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Other Names 1

Doing Business AsPerham Health

Other Identifiers 1

Medicaid149715400MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0855743

Perham Health And Perham Living · Perham, MN
Active · expires Aug 31, 2026
CLIA Number24D0855743
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJerry Baldwin
Laboratory Phone(218) 347-1361
Laboratory LocationPerham Health And Perham Living1000 Coney Street West, Perham, MN 56573
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD W MASUR MD
Emergency Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-4500
JEFFREY L BLICKENSTAFF MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-4040
COREY L NYHUS MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
SANFORD MEDICAL CENTER FARGO
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
DR. AMY MARIE VOGT PHARM D.
Pharmacist
665 3RD ST SW, SUITE 100
PERHAM, MN 56573
Otter Tail County (218) 346-4550
DUANE WALLACE RPH
Pharmacist
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-1169
STEPHEN R HIETALA MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
MARISA LEA ZUTTER DNP
Nurse Practitioner (Family)
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 371-6117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perham Hospital District's NPI number?

The NPI number for Perham Hospital District is 1457631814. It was assigned to this organization in the NPPES registry on August 17, 2011. The provider is doing business as Perham Health.

Where is Perham Hospital District located?

Perham Hospital District is located at 665 3rd St SW, Perham, MN 56573. The listed phone number is (218) 347-1200.

What is Perham Hospital District's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Perham Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0855743) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Perham Hospital District accept?

Health plans from Medica and Sanford Health Plan list Perham Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Perham Hospital District was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.