TRI-COUNTY HOSPITAL PHARMACY (NPI# 1205054590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205054590 |
Entity Type | Organization |
Organization Name | TRI-COUNTY HOSPITAL PHARMACY |
Practice Address |
415 Jefferson St N Wadena MN 56482-1264 |
Practice Telephone | 2186317598 |
Practice Fax Number | 2186317517 |
Mailing Telephone | 2186317598 |
Mailing Fax Number | 2186317517 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DENNIS MILEY (CEO) |
Authorized Official Telephone | 2186317483 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
200546-9 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | DEA NUMBER | AW3608087 | 01 |
MN | PHARMACY LICENSE | 2005469 | 01 |
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 |
Find all providers in the same location |
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 | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
---|---|---|---|---|
1902196504 | Northfield Hospital | Pharmacy | 2000 North Ave, Northfield, MN 55057-1498 | 2011-04-15 |
1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
1659533362 | Regions Hospital Inpatient Pharmacy | Pharmacy | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-25 |
1235304130 | Fairview Health Svc | Pharmacy | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2008-04-23 |
1083804876 | Mayo Clinic Hospital-rochester | Pharmacy | 201 W Center St, Rochester, MN 55902-3003 | 2007-07-27 |
1194915983 | Mayo Clinic Hospital-rochester | Pharmacy | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2007-07-27 |
1063564144 | Sanford Medical Center Thief River Falls | Pharmacy | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2007-01-17 |
1265581029 | St Joseph's Medical Center | Pharmacy | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-10 |
1386758373 | Gillette Children's Hospital | Pharmacy | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-08-18 |
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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.