COMMUNITY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1255496188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255496188 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
512 Skyline Blvd Cloquet MN 55720-3787 |
| Practice Telephone | 2188794641 |
| Practice Fax Number | 2188793237 |
| Mailing Telephone | 2188794641 |
| Mailing Fax Number | 2188793237 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | MR. RICHARD L. BREUER (CEO) |
| Authorized Official Telephone | 2188787621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 331457 | MN | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528103652 | Community Memorial Hospital Association | Durable Medical Equipment & Medical Supplies | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2007-02-20 |
| 1710924428 | Community Memorial Hospital Association | Skilled Nursing Facility | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-06-01 |
| 1003869082 | Community Memorial Hospital Association | Clinic/Center | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
| Street Address |
512 SKYLINE BLVD |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-3787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577033 | John James Baga | Internal Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2005-09-01 |
| 1689226185 | Jacob Klug | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-15 |
| 1144872383 | Lisa Beth Hay | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-09 |
| 1073021036 | Webmed LLC | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2018-01-11 |
| 1922518026 | Jacqueline Ehima | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2017-10-03 |
| 1881143022 | Lisa Leedham | Physician Assistant | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-09-29 |
| 1700236155 | Jean Lynn Maslowski | Dietitian, Registered | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-06-16 |
| 1720441686 | Natalie Krier Arreola | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-03-29 |
| 1386005601 | Timothy Robert Weber | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720 | 2016-03-14 |
| 1649656562 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| 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.