CMS-1500 Box 24J / 33a • NPI
1194101766
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
302R00000X
Licensed & Credentialed Health Maintenance Organization
Box 32 Service Location & ZIP+4
710 FRANKIE LN, MORA, MN, 55051-1914
✓ 9-Digit EDI 837 ZIP+4 (55051-1914)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194101766 (COBORNS INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194101766 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COBORNS INC |
| Plain-English Specialty | Licensed & Credentialed Health Maintenance Organization NUCC Code: 302R00000X (Health Maintenance Organization) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 710 FRANKIE LN, MORA, MN, 55051-1914 |
| Practice Telephone / Fax | Tel: (320) 679-2363 | Fax: (320) 679-1620 |
| Administrative Mailing Address | PO BOX 6146, SAINT CLOUD, MN, 56302-6146 |
| Enumeration & Last Sync | Enumerated: 2015-08-06 | CMS Record Updated: 2020-08-21 |
| Authorized Official | LYNN YOUNG (DIRECTOR OF PHARMACY) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (302R00000X)
What Does Taxonomy Code 302R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COBORNS INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: N/A | License: Verified | Primary: Secondary |
302R00000X — Health Maintenance OrganizationPlain English: Licensed & Credentialed Health Maintenance Organization | State: MN | License: 119447 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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