ST MARYS REGIONAL HEALTH CENTER (NPI# 1578553160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578553160 |
| Entity Type | Organization |
| Organization Name | ST MARYS REGIONAL HEALTH CENTER |
| Other Organization Name | ESSENTIA HEALTH OAK CROSSING |
| Practice Address |
1040 Lincoln Ave Detroit Lakes MN 56501-3409 |
| Practice Telephone | 2188470820 |
| Practice Fax Number | 2188440780 |
| Mailing Telephone | 2188470820 |
| Mailing Fax Number | 2188440780 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | MR. RYAN L HILL (CFO) |
| Authorized Official Telephone | 2188475611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 328815 | MN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 354804 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD MN | 1607EMA | 01 |
| BLUE CROSS BLUE SHIE | 8Y02MA | 01 | |
| MN | 623840800 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 8Y02MA | 01 |
| MN | MEDICA | 7122625 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health Oak Crossing | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1720078686 | St Marys Regional Health Center | Registered Nurse | 114 Frazee St E, Detroit Lakes, MN 56501 | 2005-10-24 |
| 1730706656 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2020-06-26 |
| 1447240304 | St Marys Regional Health Center | Pharmacy | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2005-10-24 |
| Street Address |
1040 LINCOLN AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477029221 | Jordan S Bjorhus | Physical Therapist | 1040 Lincoln Ave, Detroit Lakes, MN 56501-3508 | 2018-10-19 |
| 1104988229 | St. Mary's Regional Health Center | Durable Medical Equipment & Medical Supplies | 1040 Lincoln Ave, Detroit Lakes, MN 56501-3508 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215088521 | Ecumen | Skilled Nursing Facility | 1415 Madison Ave, Detroit Lakes, MN 56501-4542 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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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.