NORTHERN PINES MEDICAL CENTER (NPI# 1881954147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881954147 |
Entity Type | Organization |
Organization Name | NORTHERN PINES MEDICAL CENTER |
Other Organization Name | ESSENTIA HEALTH NORTHERN PINES CLINIC |
Practice Address |
5211 Highway 110 Aurora MN 55705-1522 |
Practice Telephone | 2182292211 |
Mailing Telephone | 2182292211 |
Enumeration Date | 2012-05-21 |
Last Update Date | 2013-10-18 |
Authorized Official Name | LAURA J ACKMAN (CEO) |
Authorized Official Telephone | 2182294222 |
Is Organization Subpart | Y |
Parent Organization Name | ST. MARY'S DULUTH CLINIC HEALTH SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
00604 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1881954147 | 05 |
Other Name | Type Code |
---|---|
Essentia Health Northern Pines Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
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 |
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 HIGHWAY 110 |
City | AURORA |
State | MN |
Zip Code | 55705-1522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043285455 | Catherine Marie Mitchell | Family Medicine | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705-1522 | 2006-02-20 |
1174024095 | Mallory Ellen Imberg | Speech-Language Pathologist | 5211 Highway 110, Aurora, MN 55705-1522 | 2018-02-26 |
1285183046 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2016-09-22 |
1932573177 | Emily Elizabeth Modin | Occupational Therapist | 5211 Highway 110, Aurora, MN 55705-1522 | 2015-11-28 |
1215321310 | Angela Boyd | Dietitian, Registered | 5211 Highway 110, Aurora, MN 55705-1522 | 2015-03-26 |
1497169056 | Tracy Powell | Registered Nurse | 5211 Highway 110, Aurora, MN 55705-1522 | 2014-06-11 |
1225467004 | Justin Peyla | Physical Therapist | 5211 Highway 110, Essentia Health-northern Pines, Aurora, MN 55705-1522 | 2013-11-02 |
1598105694 | Susan Elizabeth Stark | Nurse Practitioner | 5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 | 2013-07-03 |
1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
1891053567 | Northern Pines Medical Center | Non-Pharmacy Dispensing Site | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
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 |
1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
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 |
Find all providers in zip 55705 |
Taxonomy Code | 261QC0050X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Critical Access Hospital |
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952555146 | County of Meeker | Clinic/Center | 740 Parker Ave W, Dassel, MN 55325-1024 | 2008-11-14 |
1821202359 | Paynesville Area Hospital District | Clinic/Center | 300 Highway 23, Suite 4, Spicer, MN 56288-4607 | 2007-05-10 |
1750339818 | Paynesville Area Hospital District | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312 | 2006-05-04 |
1720046071 | Paynesville Area Hospital District | Clinic/Center | 150 Central Ave N, Watkins, MN 55389-4505 | 2006-05-03 |
1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
1811955859 | Paynesville Area Hospital District | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2006-05-01 |
1083221816 | County of Meeker | Clinic/Center | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2020-09-25 |
1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
1912330663 | Centracare Health-paynesville LLC | Clinic/Center | 308 5th Ave S, Suite 100, Cold Spring, MN 56320-2341 | 2013-08-16 |
1093152423 | Deer River Healthcare Center, Inc. | Clinic/Center | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2013-05-24 |
Find all providers with the same taxonomy |
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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.