DEER RIVER HEALTHCARE CENTER INC (NPI# 1306394101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306394101 |
| Entity Type | Organization |
| Organization Name | DEER RIVER HEALTHCARE CENTER INC |
| Other Organization Name | ESSENTIA HEATH DEER RIVER CLINIC |
| Practice Address |
115 10th Ave Ne Deer River MN 56636-8795 |
| Practice Telephone | 2182468275 |
| Mailing Telephone | 2182468275 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | SCOTT NIGON (CFO REGIONAL HOSPITALS) |
| Authorized Official Telephone | 2182463047 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY'S DULUTH CLINIC HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Essentia Heath Deer River Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
| 1326512112 | Deer River Healthcare Center Inc | Family Medicine | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2019-01-15 |
| 1255445581 | Deer River Healthcare Center Inc | Home Health | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2006-08-17 |
| 1609989326 | Deer River Healthcare Center Inc | Skilled Nursing Facility | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2006-08-16 |
| Street Address |
115 10TH AVE NE |
| City | DEER RIVER |
| State | MN |
| Zip Code | 56636-8795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467439000 | Mark D. Gustafson | Family Medicine | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2005-12-26 |
| 1851991566 | Susan M Jewett | Physical Therapist | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2020-10-30 |
| 1912505611 | Kimberly Ann Deihl | Dietitian, Registered | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2020-10-14 |
| 1326512112 | Deer River Healthcare Center Inc | Family Medicine | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2019-01-15 |
| 1295266898 | Deer River Healthcare Center, Inc | Ambulance | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2017-03-24 |
| 1093136343 | Craig Stevens | Nurse Anesthetist, Certified Registered | 115 10th Ave Ne, Deer River, MN 56636-8975 | 2014-01-03 |
| 1669710257 | Sadie Lynn Norstrem | Speech-Language Pathologist | 115 10th Ave Ne, Essentia Health Deer River, Deer River, MN 56636-8795 | 2013-01-17 |
| 1770848772 | Daniel George Holmbeck | Physical Therapist | 115 10th Ave Ne, Deer River Healthcare Center, Deer River, MN 56636-8795 | 2012-07-06 |
| 1710242821 | Jeffrey Thomas Sheetz | Physical Therapist | 115 10th Ave Ne, Essentia Health Deer River, Deer River, MN 56636-8795 | 2012-07-05 |
| 1285999383 | Thomas Dosen-windorski | Occupational Therapist | 115 10th Ave Ne, Deer River Healthcare Center, Deer River, MN 56636-8795 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1992251235 | Ashley Ann Seedorf | Counselor | 313 Main Avenue, Deer River, MN 56636 | 2016-08-28 |
| 1376969675 | Thomas Kleinkauf | Family Medicine | 33688 East Point Rd, Deer River, MN 56636 | 2014-03-11 |
| 1073527651 | Brielle A Loe | Family Medicine | 300 West Conan St., Duluth Clinic-ely, Ely, MN 56636 | 2006-07-28 |
| 1619949328 | Jeffrey Lee Carter | Dentist | 111 Main Street, Deer River, MN 56636 | 2006-02-06 |
| 1811425895 | Leah Hildebrandt | Dentist | 111 Main St, Po Box 40, Deer River, MN 56636 | 2017-06-02 |
| 1689739435 | Independent School District No 317 | Local Education Agency (LEA) | 101 1st Ave Ne, Deer River, MN 56636-0307 | 2006-12-22 |
| 1144794793 | Michaela Ashlyn Fairbanks | Specialist/Technologist | 44711 County Road 18, Deer River, MN 56636-2148 | 2019-01-16 |
| 1407153158 | Judy Louise Lemieux | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2011-02-15 |
| 1043554702 | Rodney C Horgen | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2012-11-19 |
| Find all providers in zip 56636 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| Find all providers with the same taxonomy | ||||
| City | DEER RIVER |
| Zip Code | 56636 |
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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.