NORTHERN PINES MEDICAL CENTER


Address: 5211 Highway 110, Aurora, MN 55705-1522
Phone: 2182292211

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC0050X Clinic/Center
Specialization: Critical Access Hospital
00604 MN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 1881954147 05

Other Provider/Organization Names

Other Name Type Code
Essentia Health Northern Pines Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5211 HIGHWAY 110
City AURORA
State MN
Zip Code 55705-1522

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QC0050X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Critical Access Hospital

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City AURORA
Zip Code 55705

Improve Information

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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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