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JOHNSON BROTHERS HEALTH CENTER
NPI 1609417757
Physician Assistant in Saint Paul, MN

Active since September 30, 2019CLIA 24D2124877 · Waiver
1145 HOMER ST, SAINT PAUL, MN 55116(612) 426-3771 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Feb 15, 2021, Sep 30, 2019 (3 updates tracked since 2019).

About Johnson Brothers Health Center NPPES

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

JOHNSON BROTHERS HEALTH CENTER (NPI 1609417757) is a healthcare organization registered as a physician assistant in Saint Paul, Minnesota and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Terry Layman, Corporate Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1609417757
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMH HEALTH CARE SERVICES, PC
Location Address1145 HOMER STSaint Paul, MN 55116-3231
Mailing Address20 Winooski Falls Way Ste 475Winooski, VT 05404-2277 · (802) 857-0400
Phone(612) 426-3771
Organization SubpartNo
Authorized OfficialTerry LaymanCorporate Medical Officer · (317) 727-6898
Enumeration DateSeptember 30, 2019
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1609417757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1145 HOMER ST, Saint Paul, MN 55116
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Other Names 1

Other NameJohnson Brothers Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 24D2124877

Johnson Brothers Health Center · Saint Paul, MN
Active · expires Jan 25, 2027
CLIA Number24D2124877
Laboratory TypeOnsite Health Center
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorCora Peine
Laboratory Phone(802) 857-0400
Laboratory LocationJohnson Brothers Health Center1145 Homer Street, Saint Paul, MN 55116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CHRIS-ANN LAURIA APNP
Nurse Practitioner
1145 HOMER ST
SAINT PAUL, MN 55116
Ramsey County (612) 426-3771

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 Mh Health Care Services, PC's NPI number?

The NPI number for Mh Health Care Services, PC is 1609417757. It was assigned to this organization in the NPPES registry on September 30, 2019. The provider is also known as Johnson Brothers Health Center.

Where is Mh Health Care Services, PC located?

Mh Health Care Services, PC is located at 1145 Homer St, Saint Paul, MN 55116. The listed phone number is (612) 426-3771.

What is Mh Health Care Services, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Mh Health Care Services, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2124877) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mh Health Care Services, PC was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.