PINE MEDICAL CENTER (NPI# 1326041633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326041633 |
| Entity Type | Organization |
| Organization Name | PINE MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH SANDSTONE |
| Practice Address |
705 Lundorff Drive South Sandstone MN 55072 |
| Practice Telephone | 3202452212 |
| Practice Fax Number | 3202453251 |
| Mailing Telephone | 3202452212 |
| Mailing Fax Number | 3202453251 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | MR. SCOTT NIGON (CFO) |
| Authorized Official Telephone | 2187863212 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
361349 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE ER | 01006123 | 01 |
| MN | BCBS OF MINNESOTA ER | 22454NO | 01 |
| MN | 1326041633 | 05 | |
| WI | 1326041633 | 05 | |
| MN | BCBS OF MINNESOTA UB | 3B24HPI | 01 |
| MN | UCARE AMBULANCE | 300142 | 01 |
| MN | MEDICA ER | 3945005 | 01 |
| MN | MEDICA URGENT CARE | 6604104 | 01 |
| MN | UCARE UC | F793 | 01 |
| MN | PREFERRED ONE UC | 1033994 | 01 |
| MN | BCBS OF MINNESOTA UC | 36F55PI | 01 |
| MN | MEDICA UB | 5013818 | 01 |
| MN | HEALTH PARTNERS | 58444 | 01 |
| MN | UCARE ER | H109 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health Sandstone | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154852937 | Pine Medical Center | Ambulance | 705 Lundorff Dr, Sandstone, MN 55072-5099 | 2017-03-23 |
| 1003061011 | Pine Medical Center | Non-Pharmacy Dispensing Site | 109 Court Ave S, Sandstone, MN 55072-5120 | 2008-11-19 |
| 1205043841 | Pine Medical Center | Medicare Defined Swing Bed Unit | 705 Lundorff Drive South, Sandstone, MN 55072 | 2007-05-16 |
| 1659459931 | Pine Medical Center | Clinic/Center | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-11-02 |
| 1568540847 | Pine Medical Center | Clinic/Center | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-11-02 |
| Street Address |
705 LUNDORFF DRIVE SOUTH |
| City | SANDSTONE |
| State | MN |
| Zip Code | 55072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205043841 | Pine Medical Center | Medicare Defined Swing Bed Unit | 705 Lundorff Drive South, Sandstone, MN 55072 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034189 | Kc Companies of Sandstone Inc/sandstone Golden Horizons | Assisted Living Facility | 1109 Lundorff, Sandstone, MN 55072 | 2017-03-21 |
| 1124414032 | Sherri Lynn Anderson | Licensed Practical Nurse | 29916 Anderson Dr., Sandstone, MN 55072 | 2015-04-08 |
| 1346676541 | Sheila Ann Carr | Custodial Care Facility | 27295 Groningen Road, Sandstone, MN 55072 | 2013-09-19 |
| 1043497662 | Lori J Dougherty | Technician | 119 Fouth St., Sandstone, MN 55072 | 2008-01-25 |
| 1215114830 | Cindy Kuhlman | Technician | 119 Fourth St., Sandstone, FM 55072 | 2008-01-25 |
| 1699951590 | Reta Joyce Diedrich | Registered Nurse | 119 4th St., Sandstone, MN 55072 | 2008-01-10 |
| 1134303381 | Deedree Ann Ludwig | Community Health Worker | 119 4th. St., Sandstone, MN 55072 | 2007-12-24 |
| 1043494297 | Minnie Mae Delaney | Community Health Worker | 119 4th Street, Sandstone, MN 55072 | 2007-12-24 |
| 1710068838 | Chris A Ketchmark | Chiropractor | 301 N Commercial Ave, Sandstone, MN 55072 | 2006-10-17 |
| 1982830493 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 45741 Grace Lake Rd, Sandstone, MN 55072 | 2009-06-10 |
| Find all providers in zip 55072 | ||||
| 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 | ||||
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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.