NORTHERN PINES MEDICAL CENTER (NPI# 1871651646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871651646 |
| Entity Type | Organization |
| Organization Name | NORTHERN PINES MEDICAL CENTER |
| Other Organization Name | WHITE COMMUNITY HOSPITAL CORPORATION |
| Practice Address |
5211 Hwy 110 Aurora MN 55705 |
| Practice Telephone | 2182292211 |
| Practice Fax Number | 2182292042 |
| Mailing Telephone | 2182292211 |
| Mailing Fax Number | 2182292042 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-10-07 |
| Authorized Official Name | LAURA JANE ACKMAN (CEO) |
| Authorized Official Telephone | 2182292211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 173347800 | 05 |
| Other Name | Type Code |
|---|---|
| White Community Hospital Corporation | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285183046 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2016-09-22 |
| 1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
| 1881954147 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-21 |
| 1891053567 | Northern Pines Medical Center | Non-Pharmacy Dispensing Site | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-01 |
| 1053694885 | Northern Pines Medical Center | Pharmacy | 5211 Highway 110, Aurora, MN 55705-1522 | 2011-09-28 |
| 1063511020 | Northern Pines Medical Center | Skilled Nursing Facility | 5211 Highway 110, Aurora, MN 55705-1522 | 2006-09-22 |
| 1639278609 | Northern Pines Medical Center | General Acute Care Hospital | 5211 Highway 110, Aurora, MN 55705-1522 | 2006-09-22 |
| Street Address |
5211 HWY 110 |
| City | AURORA |
| State | MN |
| Zip Code | 55705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
| 1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
| 1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
| 1265533400 | Ericka Janette Lamar | Psychologist | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705 | 2006-09-26 |
| 1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
| 1447817978 | Mesabacare LLC | Counselor | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2019-05-21 |
| 1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
| 1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
| 1457958498 | Carol Ruth Haasl | Community Health Worker | 215 W 4th Ave N, Aurora, MN 55705-1252 | 2020-10-02 |
| 1649335167 | Independent School District No. 2711 | Local Education Agency (LEA) | 601 N 1st St W, Aurora, MN 55705-1301 | 2006-12-26 |
| Find all providers in zip 55705 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1144681354 | Benivex Inc | Pharmacy | 370 W Indian Trl, Aurora, IL 60506-2451 | 2016-03-15 |
| 1366889115 | Grace Health Pharmacy | Pharmacy | 3191 S Vaughn Way Unit 102, Unit 102, Aurora, CO 80014-3505 | 2013-06-03 |
| 1326330358 | Terrascripts LLC | Pharmacy | 13801 E Yale Ave Unit 119, Aurora, CO 80014-2339 | 2011-05-10 |
| 1992004766 | Highland Pharmacy Inc | Pharmacy | 1177 N. Highland Ave, Suite 203, Aurora, IL 60506 | 2011-03-19 |
| 1114221751 | Medshop Pharmacy LLC | Pharmacy | 3535 E New York St, Aurora, IL 60504-4465 | 2010-12-22 |
| 1255591780 | Metro Community Provider Network, Inc. | Pharmacy | 3292 Peoria Street, Aurora, CO 80110-1517 | 2008-06-09 |
| 1689833097 | Walgreen Co | Pharmacy | 15310 E Colfax Ave, Aurora, CO 80011-5806 | 2008-06-02 |
| 1114098126 | Rpcs, Inc | Pharmacy | 708 S Elliott Ave, Aurora, MO 65605-2210 | 2006-11-13 |
| 1407957848 | Family Pharmacy Inc | Pharmacy | 1718 S Chambers Rd, Aurora, CO 80017-5023 | 2006-09-26 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on NORTHERN PINES MEDICAL 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.