HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME (NPI# 1154407005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154407005 |
Entity Type | Organization |
Organization Name | HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME |
Practice Address |
503 East Lincoln St Hendricks MN 56136-0106 |
Mailing Address |
Po Box 106 Hendricks MN 56136-0106 |
Practice Telephone | 5072753134 |
Practice Fax Number | 5072752242 |
Mailing Telephone | 5072753134 |
Mailing Fax Number | 5072752242 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2017-07-17 |
Authorized Official Name | MR. JEFF GOLLAHER (CEO) |
Authorized Official Telephone | 5072753134 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251G00000X | Hospice Care, Community Based | Agencies | ||
Y | 251G00000X | Hospice Care, Community Based | 333819 | MN | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
1013206812 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 501 E Lincoln St, Hendricks, MN 56136-9598 | 2011-04-01 |
1154497527 | Hendricks Community Hospital Assn & Retirement Home | Medicare Defined Swing Bed Unit | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-11-28 |
1316026370 | Hendricks Community Hospital Assn & Retirement Home | General Acute Care Hospital | 503 East Lincoln Street, Hendricks, MN 56136-0106 | 2006-11-02 |
1588742217 | Hendricks Community Hospital Assn & Retirement Home | Home Health | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-11-01 |
1932285061 | Hendricks Community Hospital Assn & Retirement Home | Skilled Nursing Facility | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-10-31 |
Street Address |
503 EAST LINCOLN ST |
City | HENDRICKS |
State | MN |
Zip Code | 56136-0106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154497527 | Hendricks Community Hospital Assn & Retirement Home | Medicare Defined Swing Bed Unit | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-11-28 |
1588742217 | Hendricks Community Hospital Assn & Retirement Home | Home Health | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-11-01 |
1932285061 | Hendricks Community Hospital Assn & Retirement Home | Skilled Nursing Facility | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467691097 | Javad Vahabzadeh-monshie | Psychiatry & Neurology | No 7, Second Tova Avenue, Imam Avenue, Ardebil, ARDEBIL 56136 | 2009-02-04 |
1114024593 | Lincoln County Ind Dist 402 | Local Education Agency (LEA) | 200 E. Lincoln, Hendricks, MN 56136 | 2006-09-20 |
1104850510 | Hendricks Clinic Pa | Clinic/Center | 501 E Lincoln St, Hendricks, MN 56136-0026 | 2006-07-10 |
1952336828 | Tabb Mccluskey | Family Medicine | 501 E Lincoln St, Hendricks, MN 56136-0026 | 2006-07-11 |
1669407540 | Debra Browning | Nurse Practitioner | 501 E Lincoln St, Hendricks, MN 56136-0026 | 2006-07-11 |
1205912284 | Hendricks Community Hospital Association | Non-emergency Medical Transport (VAN) | 503 East Lincoln Street, Hendricks, MN 56136-0106 | 2006-10-31 |
1316026370 | Hendricks Community Hospital Assn & Retirement Home | General Acute Care Hospital | 503 East Lincoln Street, Hendricks, MN 56136-0106 | 2006-11-02 |
1255417119 | Hendricks Community Hospital Association | Durable Medical Equipment & Medical Supplies | 503 East Lincoln Street, Hendricks, MN 56136-0106 | 2006-10-31 |
1548352552 | Rolland C Digre | Dentist | 115 North Main St, Hendricks, MN 56136-0138 | 2006-09-28 |
1003947060 | Siverson Pharmacy and Gifts LLC | Pharmacy | 118 South Main St, Hendricks, MN 56136-1230 | 2007-03-08 |
Find all providers in zip 56136 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
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.