Phoenix
NPI 1972118438ActiveOrganization· Voluntary or Charitable· North Branch, MN
Voluntary or Charitable in North Branch, Minnesota, registered in NPPES in September 2020. The authorized official on file is Jeremy James Kortus, Co-Founder.
Overview
| NPI | 1972118438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2020 |
| Last updated in NPPES | Sep 11, 2020 |
| Certified by provider | Sep 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Voluntary or Charitable Primary | 251V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Voluntary or Charitable providers in North Branch
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