TRI-COUNTY HOSPITAL PHARMACY


Address: 415 Jefferson St N, Wadena, MN 56482-1264
Phone: 2186317598

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
200546-9 MN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN DEA NUMBER AW3608087 01
MN PHARMACY LICENSE 2005469 01

Office Location

Street Address 415 JEFFERSON ST N
City WADENA
State MN
Zip Code 56482-1264

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City WADENA
Zip Code 56482

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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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