ST MARYS REGIONAL HEALTH CENTER (NPI# 1730731464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730731464 |
| Entity Type | Organization |
| Organization Name | ST MARYS REGIONAL HEALTH CENTER |
| Other Organization Name | ESSENTIA HEALTH PARK RAPIDS HWY 34 CLINIC |
| Practice Address |
1103 1st St E Park Rapids MN 56470 |
| Mailing Address |
1702 University Dr S Medical Staff Services-ssc Fargo ND 58103-4940 |
| Practice Telephone | 2187326300 |
| Practice Fax Number | 2187326370 |
| Mailing Telephone | 7013644222 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | RYAN HILL (CFO) |
| Authorized Official Telephone | 2183147852 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARYS REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Essentia Health Park Rapids Hwy 34 Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578553160 | St Marys Regional Health Center | Skilled Nursing Facility | 1040 Lincoln Ave, Detroit Lakes, MN 56501-3409 | 2005-10-25 |
| 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 |
1103 1ST ST E |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706656 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1174091904 | Amanda Marie Slaikeu | Physical Therapist | 705 Pleasant Avenue South, Park Rapids, MN 56470 | 2018-11-09 |
| 1184965261 | Hubbard County Sheriff's Office | Secured Medical Transport (VAN) | 203 Court Ave, Park Rapids, MN 56470 | 2013-03-14 |
| 1134481666 | Michelle Lynn Rice | Physical Therapy Assistant | 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1629330279 | Lois G. Mcclatchie | Physical Therapist | 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1891966479 | Jay C Jorgenson Dds Pa | Dentist | 406 Pleasant Ave, Park Rapids, MN 56470 | 2008-03-21 |
| 1629250063 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 | 2007-11-28 |
| 1659553170 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 909 Crocus Hill St, Evergreen Suites, Park Rapids, MN 56470 | 2007-11-27 |
| Find all providers in zip 56470 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
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| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| 1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
| Find all providers with the same taxonomy | ||||
| City | PARK RAPIDS |
| Zip Code | 56470 |
Please comment or provide details below to improve the information on ST MARYS REGIONAL HEALTH CENTER.
| 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.