NORTHERN PINES MEDICAL CENTER (NPI# 1053694885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053694885 |
| Entity Type | Organization |
| Organization Name | NORTHERN PINES MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH NORTHERN PINES MEDICAL |
| Practice Address |
5211 Highway 110 Aurora MN 55705-1522 |
| Practice Telephone | 2182294210 |
| Practice Fax Number | 2182294261 |
| Mailing Telephone | 2182294210 |
| Mailing Fax Number | 2182294261 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | JAMES TOMSCHE (DIRECTOR OF ACUTE CARE PHARMAC) |
| Authorized Official Telephone | 2187864346 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
200749 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 173347800 | 05 | |
| PK | 2045668 | 01 |
| Other Name | Type Code |
|---|---|
| ESSENTIA HEALTH NORTHERN PINES MEDICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
| 1285183046 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2016-09-22 |
| 1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
| 1881954147 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-21 |
| 1891053567 | Northern Pines Medical Center | Non-Pharmacy Dispensing Site | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-01 |
| 1063511020 | Northern Pines Medical Center | Skilled Nursing Facility | 5211 Highway 110, Aurora, MN 55705-1522 | 2006-09-22 |
| 1639278609 | Northern Pines Medical Center | General Acute Care Hospital | 5211 Highway 110, Aurora, MN 55705-1522 | 2006-09-22 |
| Street Address |
5211 HIGHWAY 110 |
| City | AURORA |
| State | MN |
| Zip Code | 55705-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285455 | Catherine Marie Mitchell | Family Medicine | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705-1522 | 2006-02-20 |
| 1174024095 | Mallory Ellen Imberg | Speech-Language Pathologist | 5211 Highway 110, Aurora, MN 55705-1522 | 2018-02-26 |
| 1285183046 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2016-09-22 |
| 1932573177 | Emily Elizabeth Modin | Occupational Therapist | 5211 Highway 110, Aurora, MN 55705-1522 | 2015-11-28 |
| 1215321310 | Angela Boyd | Dietitian, Registered | 5211 Highway 110, Aurora, MN 55705-1522 | 2015-03-26 |
| 1497169056 | Tracy Powell | Registered Nurse | 5211 Highway 110, Aurora, MN 55705-1522 | 2014-06-11 |
| 1225467004 | Justin Peyla | Physical Therapist | 5211 Highway 110, Essentia Health-northern Pines, Aurora, MN 55705-1522 | 2013-11-02 |
| 1598105694 | Susan Elizabeth Stark | Nurse Practitioner | 5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 | 2013-07-03 |
| 1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
| 1881954147 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
| 1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
| 1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
| 1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
| 1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
| 1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
| 1447817978 | Mesabacare LLC | Counselor | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2019-05-21 |
| 1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
| 1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
| 1457958498 | Carol Ruth Haasl | Community Health Worker | 215 W 4th Ave N, Aurora, MN 55705-1252 | 2020-10-02 |
| Find all providers in zip 55705 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1932236593 | Memorial Community Health, Inc | Pharmacy | 1423 7th St, Aurora, NE 68818-1141 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902196504 | Northfield Hospital | Pharmacy | 2000 North Ave, Northfield, MN 55057-1498 | 2011-04-15 |
| 1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
| 1659533362 | Regions Hospital Inpatient Pharmacy | Pharmacy | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-25 |
| 1235304130 | Fairview Health Svc | Pharmacy | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2008-04-23 |
| 1083804876 | Mayo Clinic Hospital-rochester | Pharmacy | 201 W Center St, Rochester, MN 55902-3003 | 2007-07-27 |
| 1194915983 | Mayo Clinic Hospital-rochester | Pharmacy | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2007-07-27 |
| 1205054590 | Tri-county Hospital Pharmacy | Pharmacy | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-04-23 |
| 1063564144 | Sanford Medical Center Thief River Falls | Pharmacy | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2007-01-17 |
| 1265581029 | St Joseph's Medical Center | Pharmacy | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-10 |
| 1386758373 | Gillette Children's Hospital | Pharmacy | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.