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Title: Mobile Health Evaluation/Screening Provider Registration
Alternate Title:
Description:

Mobile health evaluation and screening provider means any provider who is transported in a vehicle mounted unit, either motorized or trailered, and readily movable without disassembling, and who regularly provides evaluation and screening services in more than one geographic location. Minnesota Department of Health (MDH)


Subject: Health Care
Health Care Facilities
Health Care Providers
Creation Date: 9/11/2008 2:15:10 PM
Modification Date: 8/22/2024 2:35:23 PM
Agency Name: Health (MDH), Minnesota Department of
Agency URL: https://www.health.state.mn.us
Agency Description: The Minnesota Department of Health is the state's lead public health agency, responsible for protecting, maintaining and improving the health of all Minnesotans.
Agency Phone: 651-201-5000
888-345-0823
Agency Fax: Agency URL: https://www.health.state.mn.us
Agency Address: Health, Minnesota Dept. of
625 Robert St. N.
P.O. Box 64975
St. Paul
MN
55164-0975
Division Name: Health Regulation Division
Division URL:
Division Description:
Division Phone: 651-201-4200
Division Fax: Division URL:
Unit Name: Licensing Certification Program
Unit URL:
Unit Description:
Unit Phone: 651-201-4200
Unit Fax: Contact person(s): health.hrd-fedlcr@state.mn.us
Unit URL:
Audience: Hold Application URL:
Renewal URL:
Versa URL:
Requirements:

Review:

Licensing and Certification - Mobile Health Evaluation and Screening Provider

"Mobile health evaluation and screening provider" means any provider who is transported in a vehicle mounted unit, either motorized or trailered, and readily movable without disassembling, and who regularly provides evaluation and screening services in more than one geographic location.

"Mobile health evaluation and screening provider" does not include any ambulance medical transportation type services or any mobile health service provider affiliated, owned and operated, or under contract with a licensed health care facility or provider, managed care entity licensed under Minn. Stat. Chapters 62D or 62N or Minnesota licensed physician or dentist, nor does it include fixed location providers who transfer or move during the calendar year. All mobile health evaluation and screening providers must be directly supervised by a physician licensed under Minn. Stat. Chapter 147.


Rules:
Statutes: 144.077

Forms:

Registration Application to Operate a Mobile Health Evaluation and Screening Provider (PDF): Complete and submit this form to apply for an initial registration or renew an existing registration.

Registration Renewal

Registration Application to Operate a Mobile Health Evaluation and Screening Provider (PDF): Complete and submit this form with payment to renew an existing registration.

The completed application and supporting documents can be mailed to:

Minnesota Department of Health
Health Regulation Division
P.O. Box 64900
St. Paul, MN 55164-0900

See Required Forms and Documents


Fees:

None.


Period of Issuance:

Mobile Health Evaluation and Screening registrations are renewed annually. Registrants will receive a renewal notification approximately 60-90 days prior to the expiration date of the registration. If you do not receive a renewal notification within 30 days of the expiration date, contact Health.HRD-FedLCR@state.mn.us.


Length of Determination:
Other Info:
Activity: Health Care Providers
Health Screening
Health Evaluation
License Detail URL:

Licensing and Certification - Mobile Health Evaluation and Screening Provider

Health Care Provider Directory

Minnesota Department of Health

      


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