Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Headwaters Health PC

Organization Family Medicine Physician · NPI 1821976903

Headwaters Health PC is a Family Medicine Physician in Fosston, Minnesota. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 2nd St NE
Fosston, MN 56542-1301
Phone: (218) 435-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 Kaiser Ave N, Fosston, MN 56542-1225 — (218) 435-1111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1821976903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl White — Md · (218) 435-1111
NPI enumeratedAugust 26, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address111 2nd St Ne, Fosston, MN 56542-1301

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