VOYAGE HEALTHCARE
NPI 1639643455
Family Medicine in Crystal, MN

Q: What is North Clinic, PA's NPI number?

The NPI number for North Clinic, PA is 1639643455. It was assigned to this organization in the NPPES registry on January 15, 2019. The provider is doing business as Voyage Healthcare.

Q: What is North Clinic, PA's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for North Clinic, PA was last updated on December 23, 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.

Active since January 15, 2019CLIA 24D0402376 · Accreditation

5109 36TH AVE N, CRYSTAL, MN 55422(763) 587-7900(763) 587-7989 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 23, 2022, May 30, 2019, Jan 15, 2019 (3 updates tracked since 2019).

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About Voyage Healthcare NPPES

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

VOYAGE HEALTHCARE (NPI 1639643455) is a healthcare organization registered as a family medicine in Crystal, Minnesota and active in the NPI registry since January 2019. The organization holds an CLIA Accreditation certificate valid through April 17, 2028 and lists Scott Richard Colson, President, as its authorized official.

NPPES Registry Identity

NPI1639643455

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNORTH CLINIC, PA

Location Address5109 36TH AVE NCrystal, MN 55422-2007

Mailing Address5109 36th Ave NCrystal, MN 55422-2007 · (763) 587-7900

Phone(763) 587-7900

Fax(763) 587-7989

Organization SubpartNo

Authorized OfficialScott Richard ColsonPresident · (763) 587-7900

Enumeration DateJanuary 15, 2019

Last NPPES UpdateDecember 23, 20223 updates tracked since enumeration

NPPES CertifiedDecember 23, 2022

✔ NPI 1639643455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ 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

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

5109 36TH AVE N, Crystal, MN 55422

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Other Names 1

Doing Business AsVoyage Healthcare

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

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 Accreditation 24D0402376

Voyage Healthcare · Crystal, MN

Active · expires Apr 17, 2028

CLIA Number24D0402376

Laboratory TypePhysician Office

Certificate Effective DateApril 18, 2026

Certificate Expiration DateApril 17, 2028

Laboratory DirectorMancel Mitchell

Laboratory Phone(763) 587-7923

Laboratory LocationVoyage Healthcare5109 36th Ave N, Crystal, MN 55422

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 16

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

MRS. KATHERINE ROSE CLARK PA-C

Physician Assistant