ESSENTIA HEALTH VIRGINIA, LLC (NPI# 1396748034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396748034 |
Entity Type | Organization |
Organization Name | ESSENTIA HEALTH VIRGINIA, LLC |
Other Organization Name | ESSENTIA HEALTH VIRGINIA CARE CENTER |
Practice Address |
901 9th St N Virginia MN 55792-2348 |
Practice Telephone | 2187413340 |
Practice Fax Number | 2187499427 |
Mailing Telephone | 2187413340 |
Mailing Fax Number | 2187499427 |
Enumeration Date | 2005-05-26 |
Last Update Date | 2019-01-09 |
Authorized Official Name | STEVEN FELTMAN (CFO) |
Authorized Official Telephone | 2187428662 |
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 | 314000000X | Skilled Nursing Facility | 324847 | MN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 936325400 | 05 |
Other Name | Type Code |
---|---|
Essentia Health Virginia Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962440362 | Essentia Health Virginia, LLC | Clinic/Center | 300 W Conan St, Ely, MN 55731-1145 | 2006-06-04 |
1538107594 | Essentia Health Virginia, LLC | Clinic/Center | 71 South Dr, Babbitt, MN 55706-3702 | 2006-06-03 |
1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
1083617120 | Essentia Health Virginia, LLC | General Acute Care Hospital | 901 9th St N, Virginia, MN 55792-2325 | 2005-05-23 |
1881144970 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2016-10-12 |
1326598418 | Essentia Health Virginia, LLC | Clinic/Center | 300 W Conan St, Ely, MN 55731-1145 | 2016-10-12 |
1326595646 | Essentia Health Virginia, LLC | Clinic/Center | 71 South Dr, Babbitt, MN 55706-1232 | 2016-09-02 |
1114920857 | Essentia Health Virginia, LLC | Rehabilitation Unit | 901 9th St N, Virginia, MN 55792-2348 | 2005-05-26 |
Street Address |
901 9TH ST N |
City | VIRGINIA |
State | MN |
Zip Code | 55792-2348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083617120 | Essentia Health Virginia, LLC | General Acute Care Hospital | 901 9th St N, Virginia, MN 55792-2325 | 2005-05-23 |
1174184717 | Zachary B Horoshak | Physician Assistant | 901 9th St N, Virginia, MN 55792-2325 | 2019-06-25 |
1629543368 | Rachel Anne Eisenhuth | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2018-10-09 |
1194214858 | Haley Therese Mckee | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2018-05-08 |
1518478346 | Melissa M. Devries | Nurse Practitioner | 901 9th St N, Virginia, MN 55792-2325 | 2017-10-19 |
1417474461 | Katy Decker | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2017-08-29 |
1548613144 | Molly Ongaro | Dietitian, Registered | 901 9th St N, Virginia, MN 55792-2325 | 2016-07-19 |
1508244864 | Tally Puffer | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2015-05-07 |
1679968010 | David Martin Fedor | Surgery | 901 9th St N, Virginia, MN 55792-2325 | 2015-04-02 |
1114315652 | Sara Luoma | Nurse Practitioner | 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792-2325 | 2015-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
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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 |
---|---|---|---|---|
1265465652 | Walker Nursing Home Inc | Skilled Nursing Facility | 530 East Beardstown Street, Virginia, IL 62691 | 2006-07-08 |
1427056498 | Arrowhead Senior Living Community | Skilled Nursing Facility | 1201 8th St S, Virginia, MN 55792-3349 | 2005-07-13 |
1982269775 | The Waterview Pines LLC | Skilled Nursing Facility | 1201 8th St S, Virginia, MN 55792-3349 | 2019-05-07 |
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.