CENTRACARE HEALTH-PAYNESVILLE LLC (NPI# 1144653734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144653734 |
Entity Type | Organization |
Organization Name | CENTRACARE HEALTH-PAYNESVILLE LLC |
Other Organization Name | CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC |
Practice Address |
130 1st St Ne Richmond MN 56368-8183 |
Mailing Address |
200 W 1st St Paynesville MN 56362-1445 |
Practice Telephone | 3205972122 |
Practice Fax Number | 3205972102 |
Mailing Telephone | 3202433767 |
Mailing Fax Number | 3202437955 |
Enumeration Date | 2013-08-19 |
Last Update Date | 2019-10-10 |
Authorized Official Name | MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO) |
Authorized Official Telephone | 3202555665 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CentraCare Health Paynesville - Richmond Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457788994 | Centracare Health-paynesville LLC | Assisted Living Facility | 311 Washburne Ave, Paynesville, MN 56362-1658 | 2013-09-30 |
1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
1033543921 | Centracare Health-paynesville LLC | Skilled Nursing Facility | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
1629402516 | Centracare Health-paynesville LLC | Clinic/Center | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
1700219383 | Centracare Health-paynesville LLC | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2013-08-19 |
1386077022 | Centracare Health-paynesville LLC | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312-2601 | 2013-08-16 |
1205269941 | Centracare Health-paynesville LLC | General Acute Care Hospital | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-16 |
1912330663 | Centracare Health-paynesville LLC | Clinic/Center | 308 5th Ave S, Suite 100, Cold Spring, MN 56320-2341 | 2013-08-16 |
Street Address |
130 1ST ST NE |
City | RICHMOND |
State | MN |
Zip Code | 56368-8183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
1508344391 | Ryan Mareck | Family Medicine | 130 1st St Ne, Richmond, MN 56368 | 2018-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902862592 | Regional Health Center of Richmond, Inc. | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368 | 2006-04-24 |
1073581336 | Marlene Shari Heitke | Nurse Practitioner | 130 1st St., Richmond, MN 56368 | 2006-03-10 |
1225122328 | Charles Chown Reichert | Dentist | 34 East Main St, Richmond, MN 56368-0220 | 2006-10-03 |
1457549800 | Prodigy Optical, Inc | Eyewear Supplier (Equipment, not the service) | 314 Ivy Ave Se, Richmond, MN 56368-4509 | 2007-10-11 |
1033403662 | Corey Douglas Norton | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368-4509 | 2011-05-31 |
1134261597 | Jennifer Andrea Lourey | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368-4509 | 2007-02-13 |
1558652909 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 150 Barry Ave Nw, Richmond, MN 56368-4560 | 2011-04-20 |
1952909038 | Kaitlyn Rae Schlangen | Dietitian, Registered | 512 Main St E, Richmond, MN 56368-8230 | 2020-10-12 |
1730738295 | Chain of Lakes Dental, Pllc | Clinic/Center | 34 Main St E, Richmond, MN 56368-8238 | 2019-09-08 |
1063674810 | Janet Kay Zwiefel | Registered Nurse | 24651 State Highway 23, Richmond, MN 56368-8388 | 2008-07-01 |
Find all providers in zip 56368 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
1205909207 | Marti M Cowherd | Clinic/Center | 701 Wollard Blvd, Richmond, MO 64085-2206 | 2006-11-16 |
1891799177 | Rose Bowling, LLC | Clinic/Center | 2161 Lexington Rd, Richmond, KY 40475-7952 | 2005-06-02 |
1831744176 | Baptist Health Medical Group Inc | Clinic/Center | 648 University Shopping Ctr, Richmond, KY 40475-2614 | 2019-08-05 |
1558916890 | Baptist Health Medical Group Inc | Clinic/Center | 793 Eastern Byp Ste 201, Richmond, KY 40475-2440 | 2019-08-05 |
1740758325 | Baptist Health Medical Group Inc | Clinic/Center | 107 Meridian Way Ste 200, Richmond, KY 40475-2878 | 2018-11-13 |
1679053581 | Family Care Clinic Pllc | Clinic/Center | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2018-08-20 |
1467811786 | Meritas Health Corporation | Clinic/Center | 902 Wollard Blvd, Richmond, MO 64085-2229 | 2016-02-15 |
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 |
1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on CENTRACARE HEALTH-PAYNESVILLE LLC.
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.