NORTHERN PINES MEDICAL CENTER (NPI# 1902243280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902243280 |
| Entity Type | Organization |
| Organization Name | NORTHERN PINES MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH NORTHERN PINES |
| Practice Address |
5211 Highway 110 Aurora MN 55705-1522 |
| Practice Telephone | 2182292211 |
| Practice Fax Number | 2182292042 |
| Mailing Telephone | 2182292211 |
| Mailing Fax Number | 2182292042 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | LAURA ACKMAN (COO) |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 361346 | MN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1902243280 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Northern Pines | 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 |
| 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 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 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396753323 | Memorial Community Health, Inc | Medicare Defined Swing Bed Unit | 1423 7th St, Aurora, NE 68818-1141 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 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.