COMMUNITY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1003869082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003869082 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
512 Skyline Blvd Cloquet MN 55720-3787 |
| Practice Telephone | 2188794641 |
| Practice Fax Number | 2188794641 |
| Mailing Telephone | 2188794641 |
| Mailing Fax Number | 2188794641 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MR. RICHARD L BREUER (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 2188787621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
331457 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 695045100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528103652 | Community Memorial Hospital Association | Durable Medical Equipment & Medical Supplies | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2007-02-20 |
| 1255496188 | Community Memorial Hospital Association | Medicare Defined Swing Bed Unit | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-12-22 |
| 1710924428 | Community Memorial Hospital Association | Skilled Nursing Facility | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
| Street Address |
512 SKYLINE BLVD |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-3787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577033 | John James Baga | Internal Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2005-09-01 |
| 1689226185 | Jacob Klug | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-15 |
| 1144872383 | Lisa Beth Hay | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-09 |
| 1073021036 | Webmed LLC | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2018-01-11 |
| 1922518026 | Jacqueline Ehima | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2017-10-03 |
| 1881143022 | Lisa Leedham | Physician Assistant | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-09-29 |
| 1700236155 | Jean Lynn Maslowski | Dietitian, Registered | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-06-16 |
| 1720441686 | Natalie Krier Arreola | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-03-29 |
| 1386005601 | Timothy Robert Weber | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720 | 2016-03-14 |
| 1649656562 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.