NORTHERN ITASCA HOSPITAL DISTRICT (NPI# 1205870318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205870318 |
| Entity Type | Organization |
| Organization Name | NORTHERN ITASCA HOSPITAL DISTRICT |
| Other Organization Name | BIGFORK VALLEY VILLA |
| Practice Address |
258 Pine Tree Drive Bigfork MN 56628 |
| Mailing Address |
258 Pine Tree Drive P.o. Box 258 Bigfork MN 56628 |
| Practice Telephone | 2187433177 |
| Practice Fax Number | 2187433559 |
| Mailing Telephone | 2187433177 |
| Mailing Fax Number | 2187433559 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HAROLD DANIEL ODEGAARD (CEO) |
| Authorized Official Telephone | 2187433177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | 329052 | MN | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Bigfork Valley Villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851335525 | Northern Itasca Hospital District | General Acute Care Hospital | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-15 |
| 1487797544 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2007-02-15 |
| 1336184688 | Northern Itasca Hospital District | Assisted Living Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-19 |
| 1194769265 | Northern Itasca Hospital District | Medicare Defined Swing Bed Unit | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1831133990 | Northern Itasca Hospital District | Skilled Nursing Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1740224807 | Northern Itasca Hospital District | Home Health | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1659315711 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1548204605 | Northern Itasca Hospital District | Clinic/Center | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| Street Address |
258 PINE TREE DRIVE |
| City | BIGFORK |
| State | MN |
| Zip Code | 56628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851335525 | Northern Itasca Hospital District | General Acute Care Hospital | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-15 |
| 1740558634 | Northern Itasca Hospital Pharmacy | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2011-12-06 |
| 1629345715 | Heather Leigh Bibeau | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2011-11-17 |
| 1598063711 | Courtney Anne Loveridge | Physical Therapist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-11 |
| 1679871909 | Harold Michael Olson Iv | Chiropractor | 258 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-10 |
| 1447569942 | Nrs Arizona, Pa | Radiology | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-09-30 |
| 1356655948 | Sara Ann Elioff | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-08-06 |
| 1538303730 | Jesse Lane | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2009-05-01 |
| 1487797544 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2007-02-15 |
| 1336184688 | Northern Itasca Hospital District | Assisted Living Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926477 | Megan Brekke | Dietitian, Registered | 258 Pine Tree Dr, Bigfork, MN 56628 | 2013-08-19 |
| 1669585329 | Bigfork Ambulance Service Association | Ambulance | 105 Ash Street, Bigfork, MN 56628 | 2006-08-16 |
| 1649218231 | Suanne Marie Dullard | Dentist | 100 Pinetree Dr, Bigfork, MN 56628 | 2006-06-03 |
| 1861467219 | Heidi Jean Korstad | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2006-02-21 |
| 1770073322 | Lucy Helen-nevanen Corrin | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2018-05-18 |
| 1407367261 | Catherine Lynn Porter | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2017-10-19 |
| 1508307018 | Cook Area Health Services, Inc. | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2017-03-16 |
| 1083165492 | Jeff Dahlquist | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2016-10-20 |
| 1164841540 | Barret Joella Myers Wolfson | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-14 |
| 1346669348 | Chelsea Mann | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-08 |
| Find all providers in zip 56628 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122758 | Kmjv Operation LLC | Lodging | 19351 Indiana Ave, Lakeville, MN 55044-4849 | 2020-10-23 |
| 1396395349 | Jerald Mitchell | Lodging | 120 3rd Ave N, Biwabik, MN 55708-3032 | 2019-09-11 |
| 1124687322 | Thibodeaux Real Estate Conglomerate | Lodging | 4245 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2019-06-11 |
| 1417416504 | The Chestnut Burrow | Lodging | 423 Chestnut St, Virginia, MN 55792-2525 | 2019-03-18 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1558874743 | Kelly-norton Programs, Inc. | Lodging | 1928 Stevens Ave, Minneapolis, MN 55403-3835 | 2017-11-09 |
| 1114441987 | Darlene Benson | Lodging | 22383 Nebish Rd Ne, Blackduck, MN 56630-5138 | 2017-08-02 |
| 1972816155 | Erie Beehler | Lodging | 12407 Parkwood Ln Nw, Bemidji, MN 56601-6178 | 2010-07-16 |
| 1487966115 | Michele Astrup | Lodging | 21251 Co 35, Underwood, MN 56586 | 2010-07-10 |
| 1336466614 | Kristin Zachman | Lodging | 5080 Naber Ave Ne, Saint Michael, MN 55376-9424 | 2010-04-27 |
| 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.