BRAINERD STATE HOSPITAL (NPI# 1093752594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093752594 |
| Entity Type | Organization |
| Organization Name | BRAINERD STATE HOSPITAL |
| Practice Address |
11800 State Highway 18 Brainerd MN 56401-6250 |
| Mailing Address |
Po Box 64979 Saint Paul MN 55164-0979 |
| Practice Telephone | 2188282201 |
| Mailing Telephone | 6514313691 |
| Mailing Fax Number | 6514317505 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | MR. ROD L KORNRUMPF (MENTAL HEALTH ADMIN OFFICER) |
| Authorized Official Telephone | 7637124010 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MINNESOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 331059 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 087058701 | 05 |
| Street Address |
11800 STATE HIGHWAY 18 |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-6250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013042589 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 11630 State Ave, Brainerd, MN 56401-7306 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1285760363 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-02-26 |
| 1346304805 | Comminty Behavioral Health Hospital-cold Spring | Psychiatric Hospital | 224 Krays Mill Road, Cold Spring, MN 56320 | 2006-12-20 |
| 1487715033 | Community Behavioral Health Hospital-baxter | Psychiatric Hospital | 14241 Grand Oaks Drive, Baxter, MN 56425 | 2006-12-13 |
| 1962583039 | Community Behavioral Health Hospital-fergus Falls | Psychiatric Hospital | 1801 West Alcott, Fergus Falls, MN 56537 | 2006-10-17 |
| 1336237957 | Minneapolis Veterans Administration Hospital | Psychiatric Hospital | 1 Veterans Dr # 116a, Minneapolis, MN 55417-2309 | 2006-10-10 |
| 1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
| 1386676799 | Community Behavioral Health Hospital-alexandria | Psychiatric Hospital | 1610 8th Aveune East, Alexandria, MN 56308 | 2006-07-07 |
| 1609814821 | Fergus Falls Regional Treatment Center | Psychiatric Hospital | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-06-02 |
| 1285687624 | Community Behavioral Health Hospital-st Peter | Psychiatric Hospital | 2000 Klein St, Saint Peter, MN 56082-5800 | 2006-05-18 |
| 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.