OrganizationActive
Light Mountain Healthworks Inc.
NPI 1780974998 · Pain Clinic/Center · Bemidji, MN
Provider details
- NPI number
- 1780974998
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Listebarger, President(218) 759-0835
- License
- R107370-6 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
502 Hidden Trail Ct Sw
Bemidji, MN 56601-2569
Phone: (218) 759-0835
Fax: (218) 759-0835
Street-level locationGet directions
Mailing address
502 Hidden Trail Ct Sw
Bemidji, MN 56601-2569
Registry dates
- Enumerated
- 2011-04-10
- Last updated
- 2011-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.