STEVENS COMMUNITY MEDICAL CENTER INC. (NPI# 1417105552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417105552 |
Entity Type | Organization |
Organization Name | STEVENS COMMUNITY MEDICAL CENTER INC. |
Other Organization Name | STARBUCK CLINIC |
Practice Address |
400 E. 1st Street Morris MN 56267 |
Practice Telephone | 3202393939 |
Practice Fax Number | 3202392802 |
Mailing Telephone | 3202393939 |
Mailing Fax Number | 3202392802 |
Enumeration Date | 2008-09-03 |
Last Update Date | 2018-12-03 |
Authorized Official Name | MR. JOHN D. RAU (CEO/PRESIDENT) |
Authorized Official Telephone | 3205891313 |
Is Organization Subpart | Y |
Parent Organization Name | STEVENS COMMUNITY MEDICAL CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | MN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Starbuck Clinic | Doing Business As Name - Organization |
Street Address |
400 E. 1ST STREET |
City | MORRIS |
State | MN |
Zip Code | 56267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
1316985021 | Julia Serov Hoffman | Family Medicine | 400 East First Street, Morris, MN 56267 | 2006-06-03 |
Find all providers in zip 56267 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154595882 | Morris Audiology Inc. | Clinic/Center | 1802 Division St Ste 509, Morris, IL 60450-3107 | 2008-04-14 |
1750481958 | West Central Internal Medicine | Clinic/Center | 24 E 7th St, Morris, MN 56267-1312 | 2006-09-25 |
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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.