TRI-COUNTY HOSPITAL (NPI# 1366761280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366761280 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY HOSPITAL |
| Practice Address |
415 Jefferson St N Wadena MN 56482-1264 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 2186313510 |
| Mailing Telephone | 9526532565 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | SUE ERKENBRACK (PHARMACY TECHNICIAN) |
| Authorized Official Telephone | 9526532565 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366657025 | Tri-county Hospital | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | TRI-COUNTY HOSPITAL SERVICE CORPORATION | 3200 West Market Street, Fairlawn, OH 44333 |
| Street Address |
415 JEFFERSON ST N |
| City | WADENA |
| State | MN |
| Zip Code | 56482-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545333 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2005-08-17 |
| 1669098661 | Matthew James Cary | Nurse Practitioner | 415 Jefferson St N, Wadena, MN 56482-1264 | 2020-06-25 |
| 1881239069 | Pam J Doebbeling | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1297 | 2019-11-12 |
| 1578020442 | Caitlyn Ann Wolter | Occupational Therapist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2019-02-26 |
| 1740746924 | Emily L Bitter | Dietitian, Registered | 415 Jefferson St N, Wadena, MN 56482-1264 | 2019-02-13 |
| 1316424567 | Trenda Schwantz | Physical Therapist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-07-20 |
| 1487140133 | Ashley Jill Schultz | Physician Assistant | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-07-05 |
| 1013417344 | Jenny Lynn Roller | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-02-13 |
| 1013422021 | Macayla Rose Lindenfelser | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-12-13 |
| 1457877086 | Crystal Haskin | Physician Assistant | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI-COUNTY HOSPITAL.
| 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.