TRI-COUNTY COMMUNITY HEALTH SERVICES (NPI# 1063697746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063697746 |
Entity Type | Organization |
Organization Name | TRI-COUNTY COMMUNITY HEALTH SERVICES |
Other Organization Name | TRI-COUNTY HOSPITAL AMBULANCE |
Practice Address |
415 Jefferson St N Wadena MN 56482-1264 |
Practice Telephone | 2186313510 |
Mailing Telephone | 2186313510 |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |
Authorized Official Name | DENNIS C. MILEY (ADMINISTRATOR) |
Authorized Official Telephone | 2186313510 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0255 | MN | Transportation Services |
Other Name | Type Code |
---|---|
Tri-County Hospital Ambulance | Doing Business As Name - Organization |
Street Address |
415 JEFFERSON ST N |
City | WADENA |
State | MN |
Zip Code | 56482-1264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477545333 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2005-08-17 |
1669098661 | Matthew James Cary | Nurse Practitioner | 415 Jefferson St N, Wadena, MN 56482-1264 | 2020-06-25 |
1881239069 | Pam J Doebbeling | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1297 | 2019-11-12 |
1578020442 | Caitlyn Ann Wolter | Occupational Therapist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2019-02-26 |
1740746924 | Emily L Bitter | Dietitian, Registered | 415 Jefferson St N, Wadena, MN 56482-1264 | 2019-02-13 |
1316424567 | Trenda Schwantz | Physical Therapist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-07-20 |
1487140133 | Ashley Jill Schultz | Physician Assistant | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-07-05 |
1013417344 | Jenny Lynn Roller | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-02-13 |
1013422021 | Macayla Rose Lindenfelser | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-12-13 |
1457877086 | Crystal Haskin | Physician Assistant | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
Find all providers in zip 56482 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104351162 | City of Kiester | Ambulance | 116 N Main Street, Kiester, MN 56051 | 2017-04-27 |
1265884456 | Meds-1 Ambulance Service Inc | Ambulance | 1328 Nw 5th St, Grand Rapids, MN 55744-2245 | 2016-07-12 |
1578920062 | Clockwise Movers LLC | Ambulance | 2219 Oakland Ave S, Suite 204, Minneapolis, MN 55404 | 2016-01-28 |
1700255973 | Dennis Lanoux | Ambulance | 617 Wilkins St W, Stillwater, MN 55082-4432 | 2015-09-17 |
1871929976 | Regions Hospital | Ambulance | 2501 Minnehaha Ave, Minneapolis, MN 55404-4119 | 2013-09-20 |
1386942639 | City of Lafayette | Ambulance | 800 Main Ave., Lafayette, MN 56054 | 2011-03-10 |
1033441951 | Universal Transit Services, Inc | Ambulance | 2500 E 25th Street, Minneapolis, MN 55406 | 2010-02-02 |
1407023062 | Fm Ambulance Service, Inc | Ambulance | 511 Atlantic Ave, Thief River Falls, MN 56701-2052 | 2008-05-13 |
1851575955 | Elmore Ambulance Service | Ambulance | 208 W Willis St, Elmore, MN 56027 | 2007-12-26 |
1801085493 | Bemidji Ambulance Service, Inc. | Ambulance | 512 Kay Ave Se, Bemidji, MN 56601-3637 | 2007-10-18 |
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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.