OrganizationActive
Hultman Lake Enterprises
NPI 1093397796 · Rural Health Clinic/Center · Pine City, MN
Provider details
- NPI number
- 1093397796
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joel Blomberg, Doctor of Chiropractic(320) 629-5288
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
805 Main St S
Pine City, MN 55063-1660
Phone: (320) 629-5288
Street-level locationGet directions
Mailing address
805 Main St S
Pine City, MN 55063-1660
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.