Jack V, Lundbohm Inc
NPI 1780822486 · Clinic/Center · Roseau, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack V, Lundbohm Inc is a Clinic/Center organization in Roseau, MN (NPI 1780822486).
Provider details
- NPI number
- 1780822486
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Lundbohm, President(218) 463-2992
- License
- 1792 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-02-03
- Last updated
- 2009-02-03
Frequently asked questions
- What is Jack V, Lundbohm Inc's NPI number?
- Jack V, Lundbohm Inc's National Provider Identifier (NPI) is 1780822486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack V, Lundbohm Inc?
- Jack V, Lundbohm Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack V, Lundbohm Inc located?
- Jack V, Lundbohm Inc's practice location on file with NPPES is 317 2nd St Nw, Roseau, MN 56751-1070.
- What is Jack V, Lundbohm Inc's phone number?
- The practice phone number listed in the NPPES registry for Jack V, Lundbohm Inc is (218) 463-2992.
- Does Jack V, Lundbohm Inc accept Medicare?
- Jack V, Lundbohm Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack V, Lundbohm Inc?
- The authorized official listed on Jack V, Lundbohm Inc's NPPES record is Jack Lundbohm, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack V, Lundbohm Inc's NPI active?
- Yes — Jack V, Lundbohm Inc's NPI (1780822486) is active in the NPPES registry as of the last update on 2009-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.