CENTRACARE HEALTH-PAYNESVILLE LLC (NPI# 1205269941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205269941 |
| Entity Type | Organization |
| Organization Name | CENTRACARE HEALTH-PAYNESVILLE LLC |
| Other Organization Name | CENTRACARE HEALTH - PAYNESVILLE HOSPITAL |
| Practice Address |
200 W 1st St Paynesville MN 56362-1445 |
| Practice Telephone | 3202433767 |
| Practice Fax Number | 3202437955 |
| Mailing Telephone | 3202433767 |
| Mailing Fax Number | 3202437955 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 3202555665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| CentraCare Health - Paynesville Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457788994 | Centracare Health-paynesville LLC | Assisted Living Facility | 311 Washburne Ave, Paynesville, MN 56362-1658 | 2013-09-30 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 1033543921 | Centracare Health-paynesville LLC | Skilled Nursing Facility | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
| 1629402516 | Centracare Health-paynesville LLC | Clinic/Center | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
| 1700219383 | Centracare Health-paynesville LLC | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2013-08-19 |
| 1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
| 1386077022 | Centracare Health-paynesville LLC | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312-2601 | 2013-08-16 |
| 1912330663 | Centracare Health-paynesville LLC | Clinic/Center | 308 5th Ave S, Suite 100, Cold Spring, MN 56320-2341 | 2013-08-16 |
| Street Address |
200 W 1ST ST |
| City | PAYNESVILLE |
| State | MN |
| Zip Code | 56362-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291539 | Kristine M Cervin | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2005-11-02 |
| 1356942478 | Atuobi Nana Yiadom | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2020-11-04 |
| 1427568500 | Sarah Jane Revermann | Nurse Practitioner | 200 W 1st St, Paynesville, MN 56362-1445 | 2017-10-03 |
| 1225550858 | Thakul None Rattanasuwan | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2017-07-14 |
| 1982152161 | Erin Warner | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2016-09-15 |
| 1356795108 | John Kenneth Tronnes | Family Medicine | 200 W 1st St, Paynesville, MN 56362-1445 | 2016-04-18 |
| 1194100164 | Wendy Michelle Miller | Registered Nurse | 200 W 1st St, Paynesville, MN 56362-1445 | 2015-07-20 |
| 1447679188 | Christopher Anderson | Family Medicine | 200 W 1st St, Paynesville, MN 56362-1445 | 2014-04-09 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 1033543921 | Centracare Health-paynesville LLC | Skilled Nursing Facility | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174055321 | Ginelle Rae Zimmerman | Family Medicine | 200 W 1st Street, Paynesville, MN 56362 | 2017-03-28 |
| 1710173877 | Jennifer Ann Klocker | Pharmacist | 200 West First Street, Paynesville, MN 56362 | 2007-09-21 |
| 1033322599 | Teresa Marie Winter | Massage Therapist | 750 State Hwy 55, Paynesville, MN 56362 | 2007-05-08 |
| 1336225838 | Donald Arther Millner | Dentist | 204 West James Street, Paynesville, MN 56362 | 2006-10-27 |
| 1760485908 | Todd D Lemke | Pharmacist | 200 First St W, Paynesville, MN 56362 | 2005-05-23 |
| 1275846487 | Paynesville Area Living At Home Block Nurse Program | Voluntary or Charitable | 1105 W Main St, Paynesville, MN 56362-1000 | 2010-07-16 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1932404688 | Serenity Path Inc. | Clinic/Center | 117 W James St, Box 3, Paynesville, MN 56362-1216 | 2011-01-11 |
| 1730709007 | Lisa Joy Klein-conrad | Counselor | 117 W James St, Paynesville, MN 56362-1216 | 2020-04-16 |
| 1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
| Find all providers in zip 56362 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
| City | PAYNESVILLE |
| Zip Code | 56362 |
Please comment or provide details below to improve the information on CENTRACARE HEALTH-PAYNESVILLE LLC.
| 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.