DEER RIVER HEALTHCARE CENTER, INC. (NPI# 1093152423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093152423 |
| Entity Type | Organization |
| Organization Name | DEER RIVER HEALTHCARE CENTER, INC. |
| Other Organization Name | ESSENTIA HEALTH GRAND RAPIDS CLNIC |
| Practice Address |
1542 Golf Course Rd Grand Rapids MN 55744-3555 |
| Practice Telephone | 2189997099 |
| Practice Fax Number | 2189997099 |
| Mailing Telephone | 2189997099 |
| Mailing Fax Number | 2189997099 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | BRENDA MOOS (MANAGER-REVENUE INTEGRITY) |
| Authorized Official Telephone | 2182463047 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S DULUTH CINIC HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
361503 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1093152423 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Grand Rapids Clnic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659314789 | Deer River Healthcare Center, Inc. | Clinic/Center | 9 Birch St Ne, Remer, MN 56672-4469 | 2006-06-14 |
| 1508313818 | Deer River Healthcare Center, Inc. | Clinic/Center | 9 Birch St Ne, Remer, MN 56672-4469 | 2016-09-02 |
| 1215041199 | Deer River Healthcare Center, Inc. | Medicare Defined Swing Bed Unit | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2006-08-18 |
| 1225049018 | Deer River Healthcare Center, Inc. | Assisted Living Facility | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2006-08-10 |
| Street Address |
1542 GOLF COURSE RD |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879756 | John A Moran | Ophthalmology | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 | 2005-08-24 |
| 1326683988 | Matthew Davis Borowski | Specialist/Technologist | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2019-11-07 |
| 1538672548 | Kjerstin G Durie | Physician Assistant | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2017-11-13 |
| 1104217785 | Sarah Jean Levar | Occupational Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2015-02-18 |
| 1871926691 | Andrew Michael Mccann | Physical Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2013-08-15 |
| 1245538750 | Anne Marie Grozdanich | Nurse Practitioner | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3555 | 2011-03-08 |
| 1174854350 | Radtke Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2010-01-27 |
| 1659509362 | Lanea D Johnson | Occupational Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2009-07-01 |
| 1376734418 | Susan L Anderson | Registered Nurse | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3555 | 2007-08-05 |
| 1659578417 | Barry J Pederson | Physical Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952555146 | County of Meeker | Clinic/Center | 740 Parker Ave W, Dassel, MN 55325-1024 | 2008-11-14 |
| 1821202359 | Paynesville Area Hospital District | Clinic/Center | 300 Highway 23, Suite 4, Spicer, MN 56288-4607 | 2007-05-10 |
| 1750339818 | Paynesville Area Hospital District | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312 | 2006-05-04 |
| 1720046071 | Paynesville Area Hospital District | Clinic/Center | 150 Central Ave N, Watkins, MN 55389-4505 | 2006-05-03 |
| 1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
| 1811955859 | Paynesville Area Hospital District | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2006-05-01 |
| 1083221816 | County of Meeker | Clinic/Center | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2020-09-25 |
| 1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
| 1912330663 | Centracare Health-paynesville LLC | Clinic/Center | 308 5th Ave S, Suite 100, Cold Spring, MN 56320-2341 | 2013-08-16 |
| 1881954147 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
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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.