PINE MEDICAL CENTER (NPI# 1205043841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205043841 |
| Entity Type | Organization |
| Organization Name | PINE MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH SANDSTONE |
| Practice Address |
705 Lundorff Drive South Sandstone MN 55072 |
| Practice Telephone | 3202452212 |
| Practice Fax Number | 3202453251 |
| Mailing Telephone | 3202452212 |
| Mailing Fax Number | 3202453251 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | MR. SCOTT NIGON (CFO) |
| Authorized Official Telephone | 2187863212 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S DULUTH CLINIC HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 361349 | MN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1205043841 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Sandstone | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| 1154852937 | Pine Medical Center | Ambulance | 705 Lundorff Dr, Sandstone, MN 55072-5099 | 2017-03-23 |
| 1003061011 | Pine Medical Center | Non-Pharmacy Dispensing Site | 109 Court Ave S, Sandstone, MN 55072-5120 | 2008-11-19 |
| 1659459931 | Pine Medical Center | Clinic/Center | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-11-02 |
| 1568540847 | Pine Medical Center | Clinic/Center | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-11-02 |
| Street Address |
705 LUNDORFF DRIVE SOUTH |
| City | SANDSTONE |
| State | MN |
| Zip Code | 55072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034189 | Kc Companies of Sandstone Inc/sandstone Golden Horizons | Assisted Living Facility | 1109 Lundorff, Sandstone, MN 55072 | 2017-03-21 |
| 1124414032 | Sherri Lynn Anderson | Licensed Practical Nurse | 29916 Anderson Dr., Sandstone, MN 55072 | 2015-04-08 |
| 1346676541 | Sheila Ann Carr | Custodial Care Facility | 27295 Groningen Road, Sandstone, MN 55072 | 2013-09-19 |
| 1043497662 | Lori J Dougherty | Technician | 119 Fouth St., Sandstone, MN 55072 | 2008-01-25 |
| 1215114830 | Cindy Kuhlman | Technician | 119 Fourth St., Sandstone, FM 55072 | 2008-01-25 |
| 1699951590 | Reta Joyce Diedrich | Registered Nurse | 119 4th St., Sandstone, MN 55072 | 2008-01-10 |
| 1134303381 | Deedree Ann Ludwig | Community Health Worker | 119 4th. St., Sandstone, MN 55072 | 2007-12-24 |
| 1043494297 | Minnie Mae Delaney | Community Health Worker | 119 4th Street, Sandstone, MN 55072 | 2007-12-24 |
| 1710068838 | Chris A Ketchmark | Chiropractor | 301 N Commercial Ave, Sandstone, MN 55072 | 2006-10-17 |
| 1982830493 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 45741 Grace Lake Rd, Sandstone, MN 55072 | 2009-06-10 |
| Find all providers in zip 55072 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 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.