CLEARWATER COUNTY MEMORIAL HOSPITAL (NPI# 1457321176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457321176 |
| Entity Type | Organization |
| Organization Name | CLEARWATER COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | CLEARWATER HEALTH SERVICES CLINIC |
| Practice Address |
123 4th St Nw Bagley MN 56621-8306 |
| Practice Telephone | 2186942384 |
| Practice Fax Number | 2186946687 |
| Mailing Telephone | 2186942384 |
| Mailing Fax Number | 2186946687 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | NORA C. JENNINGS (ADMIN SECRETARY) |
| Authorized Official Telephone | 2186946501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 879685800 | 05 |
| Other Name | Type Code |
|---|---|
| Clearwater Health Services Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1114998457 | Clearwater County Memorial Hospital | Clinic/Center | 22 Elm Street Nw, Clearbrook, MN 56634 | 2006-01-26 |
| Street Address |
123 4TH ST NW |
| City | BAGLEY |
| State | MN |
| Zip Code | 56621-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467706846 | Giridhar Guntreddi | Pediatrics | 123 4th St Nw, Bagley, MN 56621 | 2012-11-06 |
| 1861621153 | Andre Spence | Internal Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2009-07-08 |
| 1740457902 | Ram Prasad Paneru | Emergency Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2008-05-15 |
| 1942270673 | Bonnie Eck | Nurse Practitioner | 123 4th St Nw, Bagley, MN 56621-8306 | 2006-01-25 |
| 1053381798 | Esther Potti | Family Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933685 | Kristyn Faith Bergh | Physical Therapist | 118 Central Street West, Bagley, MN 56621 | 2019-07-11 |
| 1366956823 | Brian Sterling Paramore | Nurse Practitioner | 1656 Central Ave St W, Bagley, MN 56621 | 2017-11-20 |
| 1942436985 | Cornerstone Residence of Bagley, Inc | Assisted Living Facility | 30 Sunset Ave Sw, Bagley, MN 56621 | 2009-06-04 |
| 1548419708 | Melissa Nicole Jenson | Registered Nurse | 14 South Main Street, Bagley, MN 56621 | 2008-09-12 |
| 1518116813 | Tammy Rae Hanse | Registered Nurse | 14 South Main Ave, Bagley, MN 56621 | 2008-09-11 |
| 1134392350 | Kimberly Kae Crist | Lodging | 28647 Hwy 92, Bagley, MN 56621 | 2008-04-09 |
| 1952529323 | Clearwater Health Services | Skilled Nursing Facility | 416 7th St Ne, Bagley, MN 56621 | 2007-04-23 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1992875850 | Mary Elizabeth Jones | Dentist | 13 Main Avenue North, Bagley, MN 56621 | 2006-11-08 |
| 1558350678 | Bradley W Neujahr Od Pa | Optometrist | 14 2nd St Ne, Bagley, MN 56621 | 2005-10-20 |
| Find all providers in zip 56621 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790861649 | First Care Medical Services | Clinic/Center | 121 Central St W, Bagley, MN 56621-4393 | 2006-10-31 |
| 1972875490 | Sanford Health of Northern Minnesota | Clinic/Center | 1656 Central St W, Bagley, MN 56621-4357 | 2012-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| 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.