MILLE LACS HEALTH SYSTEM (NPI# 1356504864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356504864 |
| Entity Type | Organization |
| Organization Name | MILLE LACS HEALTH SYSTEM |
| Other Organization Name | MILLE LACS NURSING HOME |
| Practice Address |
200 Elm St N Onamia MN 56359-7901 |
| Mailing Address |
200 Elm St N Po Box A Onamia MN 56359-7901 |
| Practice Telephone | 3205322736 |
| Practice Fax Number | 3205322889 |
| Mailing Telephone | 3205323154 |
| Mailing Fax Number | 3205323111 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | MR. JOHN W UNZEN (CFO) |
| Authorized Official Telephone | 3205322581 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLE LACS HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 338430 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD MINNESOTA | 1787ECO | 01 |
| MN | BLUE CROSS BLUE SHIELD MINNESOTA | 1787NCO | 01 |
| MN | 190247400 | 05 |
| Other Name | Type Code |
|---|---|
| Mille Lacs Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629231121 | Mille Lacs Health System | Psychologist | 27378 State Highway 18, Garrison, MN 56450-2127 | 2008-07-03 |
| 1497917587 | Mille Lacs Health System | Chiropractor | 375 W Isle St, Isle, MN 56342-2640 | 2008-06-30 |
| 1326200411 | Mille Lacs Health System | Family Medicine | 26362 370th Ave, Hillman, MN 56338-2349 | 2008-06-30 |
| 1235689621 | Mille Lacs Health System | Chiropractor | 200 Elm St N, Onamia, MN 56359-7901 | 2016-10-10 |
| 1417108531 | Mille Lacs Health System | Chiropractor | 1010 5th St Se, Milaca, MN 56353-1300 | 2008-10-07 |
| 1124282272 | Mille Lacs Health System | Social Worker | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-17 |
| 1275796773 | Mille Lacs Health System | Psychologist | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-03 |
| 1265695761 | Mille Lacs Health System | Medicare Defined Swing Bed Unit | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-03 |
| 1578726311 | Mille Lacs Health System | Social Worker | 200 Elm St N, Onamia, MN 56359-7901 | 2008-07-02 |
| 1972763001 | Mille Lacs Health System | Psychiatric Unit | 200 Elm St N, Onamia, MN 56359-7901 | 2008-06-12 |
| Street Address |
200 ELM ST N |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226297 | David William Strobel | Family Medicine | 200 Elm St N, Onamia, MN 56359-7901 | 2005-12-21 |
| 1144857673 | Josh Kruize | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2020-03-25 |
| 1427519578 | Jennifer Franko Greer | Physical Therapist | 200 Elm St N, Onamia, MN 56359 | 2019-03-29 |
| 1841758935 | Corey Pieper | Psychologist | 200 Elm St N, Onamia, MN 56359-7901 | 2019-03-07 |
| 1821552134 | Bess Michelle Kuzma | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-31 |
| 1134693518 | Travis Ray Green | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-18 |
| 1356862700 | Jennifer Rae Will | Registered Nurse | 200 Elm St N, Onamia, MN 56359-7901 | 2017-07-06 |
| 1235689621 | Mille Lacs Health System | Chiropractor | 200 Elm St N, Onamia, MN 56359-7901 | 2016-10-10 |
| 1447606868 | Kari Collett | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-0807 | 2016-05-05 |
| 1427415389 | Beth Twite | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2016-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
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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.