CENTRACARE HEALTH-PAYNESVILLE LLC


Address: 130 1st St Ne, Richmond, MN 56368-8183
Phone: 3205972122

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
CentraCare Health Paynesville - Richmond Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 130 1ST ST NE
City RICHMOND
State MN
Zip Code 56368-8183

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City RICHMOND
Zip Code 56368

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Dataset Information

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.

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