CLEARWATER COUNTY MEMORIAL HOSPITAL (NPI# 1114998457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114998457 |
| Entity Type | Organization |
| Organization Name | CLEARWATER COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | CLEARWATER HEALTH SERVICES CLINIC |
| Practice Address |
22 Elm Street Nw Clearbrook MN 56634 |
| Mailing Address |
Po Box 67 Clearbrook MN 56634-0067 |
| Practice Telephone | 2186943124 |
| Practice Fax Number | 2186943184 |
| Mailing Telephone | 2186943124 |
| Mailing Fax Number | 2186943184 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | NORA C JENNINGS (ADMIN SECRETARY) |
| Authorized Official Telephone | 2186946501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 899605900 | 05 |
| Other Name | Type Code |
|---|---|
| Clearwater Health Services Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1457321176 | Clearwater County Memorial Hospital | Clinic/Center | 123 4th St Nw, Bagley, MN 56621-8306 | 2006-01-25 |
| Street Address |
22 ELM STREET NW |
| City | CLEARBROOK |
| State | MN |
| Zip Code | 56634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1699865535 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 30 Main Street South, Clearbrook, MN 56634 | 2006-10-13 |
| 1609918531 | B&d Mobility, Inc. | Non-emergency Medical Transport (VAN) | 223 Hwy 92 Sw, Clearbrook, MN 56634-0090 | 2007-02-14 |
| 1447349535 | Randy Carl Beard | Dentist | 113 Main St S, Clearbrook, MN 56634-0314 | 2006-10-12 |
| 1164511267 | Clearbrook Dental Clinic, Ltd | Clinic/Center | 113 Main St S, Clearbrook, MN 56634-0314 | 2006-10-12 |
| 1396869954 | Amy M Beckstrand | Massage Therapist | 18240 Leonard Rd, Clearbrook, MN 56634-4207 | 2007-03-19 |
| 1417047820 | Clearbrook-gonvick Isd #2311 | Local Education Agency (LEA) | 16770 Clearwater Lake Rd, Clearbrook, MN 56634-4223 | 2006-10-14 |
| 1437221421 | Stellher Human Services, Inc. | Community/Behavioral Health | 16770 Clearwater Lake Rd, Clearbrook, MN 56634-4223 | 2006-11-14 |
| 1184901993 | Nancy Campbell | Registered Nurse | 221 3rd Ave Sw, Clearbrook, MN 56634-4241 | 2011-11-08 |
| 1588893291 | Home At Heart Care, Inc. | Home Health | 221 3rd Ave Sw Ste 3, Clearbrook, MN 56634-4241 | 2009-07-02 |
| Find all providers in zip 56634 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| 1659568020 | Centracare Health System-long Prairie | Clinic/Center | 815 Highway 71 South, Eagle Valley Clinic, Eagle Bend, MN 56446-0298 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
| City | CLEARBROOK |
| Zip Code | 56634 |
Please comment or provide details below to improve the information on CLEARWATER COUNTY MEMORIAL HOSPITAL.
| 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.