ST MARY'S REGIONAL HEALTH CENTER (NPI# 1902364482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902364482 |
| Entity Type | Organization |
| Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Other Organization Name | ESSENTIA HEALTH ST. MARY'S-FRAZEE CLINIC |
| Practice Address |
300 E Main Ave Frazee MN 56544-4504 |
| Mailing Address |
1702 University Dr S Medical Staff Services-ssc Fargo ND 58103-4940 |
| Practice Telephone | 2183347255 |
| Practice Fax Number | 2183344068 |
| Mailing Telephone | 7013648177 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | RYAN L HILL (CFO) |
| Authorized Official Telephone | 2188475611 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Essentia Health St. Mary's-Frazee Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437290335 | St Mary's Regional Health Center | Assisted Living Facility | 208 Oak Street, Detroit Lakes, MN 56501 | 2007-02-12 |
| 1669998571 | St Mary's Regional Health Center | Occupational Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-08-22 |
| 1710403639 | St Mary's Regional Health Center | Speech-Language Pathologist | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2017-08-22 |
| 1639513377 | St Mary's Regional Health Center | Family Medicine | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2013-04-24 |
| 1467798322 | St Mary's Regional Health Center | Family Medicine | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2012-12-21 |
| 1558607408 | St Mary's Regional Health Center | Family Medicine | 110 Michigan Ave W, Walker, MN 56484-2274 | 2012-12-21 |
| 1699955344 | St Mary's Regional Health Center | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2007-11-10 |
| 1467640797 | St Mary's Regional Health Center | Durable Medical Equipment & Medical Supplies | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2007-10-11 |
| 1952484404 | St Mary's Regional Health Center | Hospice Care, Community Based | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-10-20 |
| 1518929934 | St Mary's Regional Health Center | Home Health | 115 W 2nd St, Graceville, MN 56240 | 2006-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST MARY'S REGIONAL HEALTH CENTER | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Street Address |
300 E MAIN AVE |
| City | FRAZEE |
| State | MN |
| Zip Code | 56544-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003234246 | Wanda Drewes | Pharmacist | 300 Jake Str Se, Perham, MN 56544 | 2014-04-04 |
| 1275977928 | St. Mary's Regional Health Center | Family Medicine | 300 Main Ave E, Frazee, MN 56544 | 2013-04-24 |
| 1013217801 | Kristin Marie Kunz | Homemaker | 111 East Main Ave, Frazee, MN 56544 | 2010-10-26 |
| 1467762369 | Wendy Ann Stiegel | Registered Nurse | 111 East Main Ave., Frazee, MN 56544 | 2010-10-14 |
| 1447328232 | Daniel J Korf | Dentist | 101 E Ash Ave, Frazee, MN 56544 | 2006-12-01 |
| 1245368448 | Seip Drug LLC | Pharmacy | 101 E Main St, Frazee, MN 56544 | 2007-03-01 |
| 1710217096 | Guiding Angels Home Care | Home Health | 111 East Main Street, Frazee, MN 56544-0236 | 2010-01-08 |
| 1114978814 | Dakota Clinic, Ltd. | Family Medicine | 114 W Main Ave, Frazee, MN 56544-4217 | 2006-05-15 |
| 1427153121 | Frazee Care Community LLC | Skilled Nursing Facility | 219 W Maple Ave, Frazee, MN 56544-4336 | 2006-09-14 |
| 1255510889 | Lss of Frazee LLC | Skilled Nursing Facility | 219 W Maple Ave, Frazee, MN 56544-4346 | 2007-10-31 |
| Find all providers in zip 56544 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| 1659568020 | Centracare Health System-long Prairie | Clinic/Center | 815 Highway 71 South, Eagle Valley Clinic, Eagle Bend, MN 56446-0298 | 2007-10-01 |
| 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.