MONTICELLO BIG LAKE HOSPITAL NURSING HOME (NPI# 1891798823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891798823 |
| Entity Type | Organization |
| Organization Name | MONTICELLO BIG LAKE HOSPITAL NURSING HOME |
| Practice Address |
1013 Hart Blvd Monticello MN 55362-8575 |
| Practice Telephone | 7632952945 |
| Practice Fax Number | 7632712421 |
| Mailing Telephone | 7632952945 |
| Mailing Fax Number | 7632712421 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SANDRA R PAWELK (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Telephone | 7632712306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
328129 | MN | Hospitals |
| Street Address |
1013 HART BLVD |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074300 | Cortney Steen | Registered Nurse | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-06-30 |
| 1003353202 | Centracare Health System-nr LLC | Psychiatric Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-01-25 |
| 1033669395 | Monticello Surgery Center LLC | Clinic/Center | 1013 Hart Blvd, Suite 2, Monticello, MN 55362-8575 | 2016-10-11 |
| 1982046132 | Centracare Health Monticello Services LLC | Nurse Anesthetist, Certified Registered | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-07-29 |
| 1457692717 | Centracare Health System - Nr, LLC | Pharmacy | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-03-12 |
| 1376883769 | Centracare Health System-nr LLC | Medicare Defined Swing Bed Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-02-21 |
| 1821337148 | Centracare Health System-nr LLC | Rehabilitation Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-02-06 |
| 1275872772 | Centracare Health System-nr LLC | General Acute Care Hospital | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-02-05 |
| 1508130394 | Chad Welle Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2012-02-27 |
| 1912229329 | Alan L Mackereth | Pharmacist | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2010-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983945 | Indiana University Health White Memorial Hospital Inc | General Acute Care Hospital | 720 S 6th St, Monticello, IN 47960-8182 | 2005-06-22 |
| 1275872772 | Centracare Health System-nr LLC | General Acute Care Hospital | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-02-05 |
| 1720292980 | Wayne County Hospital, Inc. | General Acute Care Hospital | 166 Hospital Street, Monticello, KY 42633 | 2007-05-09 |
| 1992829725 | Southwest Mississippi Regional Medical Center | General Acute Care Hospital | 1065 E Broad St, Monticello, MS 39654-7703 | 2007-03-19 |
| 1316019722 | Indiana University Health White Memorial Hospital Inc | General Acute Care Hospital | 720 S 6th St, Monticello, IN 47960-8182 | 2006-11-14 |
| 1669576385 | Southwest Mississippi Regional Medical Center | General Acute Care Hospital | 1065 E Broad St, Monticello, MS 39654-7703 | 2006-09-12 |
| 1932211851 | Southwest Mississippi Regional Medical Center | General Acute Care Hospital | 1065 E Broad St, Monticello, MS 39654-7703 | 2006-08-31 |
| 1730179847 | Kirby Medical Center | General Acute Care Hospital | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-10-28 |
| 1427041052 | Monticello-big Lake Community Hospital | General Acute Care Hospital | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
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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.