Provider Demographics
NPI:1114028503
Name:MED-PLUS HEALTH CARE, PLLC
Entity type:Organization
Organization Name:MED-PLUS HEALTH CARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:218-233-8544
Mailing Address - Street 1:2921 S FRONTAGE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2571
Mailing Address - Country:US
Mailing Address - Phone:218-233-8544
Mailing Address - Fax:218-233-8545
Practice Address - Street 1:2921 S FRONTAGE RD STE 3
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2571
Practice Address - Country:US
Practice Address - Phone:218-233-8544
Practice Address - Fax:218-233-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6503225100000X
MN1896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND11401Medicaid
NEC02885Medicare ID - Type Unspecified