HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME


Address: 503 East Lincoln St, Hendricks, MN 56136-0106
Phone: 5072753134

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 503 EAST LINCOLN ST
City HENDRICKS
State MN
Zip Code 56136-0106

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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City HENDRICKS
Zip Code 56136

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Dataset Information

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.

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