Basic Information
| Provider Information | |||||||||
| NPI: | 1821066127 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAYES | ||||||||
| FirstName: | RODNEY | ||||||||
| MiddleName: | ALLEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 ELM ST N | ||||||||
| Address2: | |||||||||
| City: | ONAMIA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 563597901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3205323154 | ||||||||
| FaxNumber: | 3205323111 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 ELM ST N | ||||||||
| Address2: | |||||||||
| City: | ONAMIA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 563597901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3205323154 | ||||||||
| FaxNumber: | 3205323111 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2006 | ||||||||
| LastUpdateDate: | 02/02/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 34601 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8F737MA | 01 | MN | BLUE CROSS CLINIC | OTHER | 01-28722 | 01 | MN | MEDICA ISLE | OTHER | 01-29390 | 01 | MN | MEDICA ISLE | OTHER | HP20689 | 01 | MN | HEALTH PARTNERS | OTHER | NA9091000274 | 01 | MN | PREFFERED ONE | OTHER | 315065800 | 05 | MN | MEDICAID | 7713280 | 05 | SD | MEDICAID | 102690 | 01 | MN | UCARE | OTHER | 01-28723 | 01 | MN | MEDICA ONAMIA | OTHER | 7T107MA | 01 | MN | BLUE CROSS HOSPITAL | OTHER |