BRAINERD MEDICAL CENTER INC (NPI# 1033680046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033680046 |
| Entity Type | Organization |
| Organization Name | BRAINERD MEDICAL CENTER INC |
| Other Organization Name | ESSENTIA HEALTH PINE RIVER PHARMACY |
| Practice Address |
280 Barclay Ave W Ste 1100 Pine River MN 56474 |
| Mailing Address |
417 Barclay Ave Pine River MN 56474-5139 |
| Practice Telephone | 2185873222 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | DAVID L PILOT (CFO) |
| Authorized Official Telephone | 2188287642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Essentia Health Pine River Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034575 | Brainerd Medical Center Inc | Pharmacy | 30581 Patriot Ave Ste A, Pequot Lakes, MN 56472-4112 | 2018-12-17 |
| 1841576261 | Brainerd Medical Center Inc | Pharmacy | 13060 Isle Dr, Baxter, MN 56425-8331 | 2011-10-31 |
| 1700162328 | Brainerd Medical Center Inc | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| 1295801777 | Brainerd Medical Center Inc | General Practice | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-11-28 |
| 1053342329 | Brainerd Medical Center Inc | Pharmacy | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-07-05 |
| Street Address |
280 BARCLAY AVE W STE 1100 |
| City | PINE RIVER |
| State | MN |
| Zip Code | 56474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518057751 | Cass & Crow Wings Cos Ind School Dist 2174 | Local Education Agency (LEA) | 401 Murray Avenue, Pine River, MN 56474 | 2006-10-16 |
| 1164512646 | John Charles Redebaugh | Chiropractor | 5314 Nisswa Ave, Nisswa, MN 56474 | 2006-10-13 |
| 1962851071 | Pine River Dental Arts, P.C. | Dentist | 203 Park Ave, Pine River, MN 56474 | 2016-06-09 |
| 1871932798 | Jaime Lyn Preble | Dentist | 203 Park Ave, Pine River, MN 56474 | 2013-06-25 |
| 1124205075 | Jamie Lynne Olson | Occupational Therapist | 518 Jefferson Ave, Pine River, MN 56474 | 2008-01-23 |
| 1255426722 | Owen W. Johnson | Dentist | 203 Park Ave, Pine River, MN 56474 | 2006-10-03 |
| 1558546036 | Annette M Pohl | Physical Therapist | 518 Jefferson Ave, Pine River, MN 56474-0029 | 2008-01-03 |
| 1124035191 | Pine River Eye Center, Inc. | Optometrist | 424 Barclay Ave., Pine River, MN 56474-0457 | 2006-08-02 |
| 1396710125 | Michael S Marvin | Optometrist | 424 Barclay Ave, Pine River, MN 56474-0457 | 2006-02-23 |
| 1023626918 | Tucker A Sheley | Nurse Practitioner | 415 Barclay Ave, Pine River, MN 56474-1603 | 2020-07-17 |
| Find all providers in zip 56474 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696349 | Zkr Investments,ltd | Pharmacy | 200 Barclay Ave, Pine River, MN 56474-5174 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIVER |
| Zip Code | 56474 |
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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.