ST MARY'S REGIONAL HEALTH CENTER (NPI# 1467798322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467798322 |
| Entity Type | Organization |
| Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Other Organization Name | ESSENTIA HEALTH MENAHGA CLINIC |
| Practice Address |
212 Aspen Ave Ne Menahga MN 56464-3289 |
| Mailing Address |
1027 Washington Ave Detroit Lakes MN 56501-3409 |
| Practice Telephone | 2185644131 |
| Practice Fax Number | 2185645287 |
| Mailing Telephone | 2188475611 |
| Mailing Fax Number | 2188470881 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | RYAN L HILL (CFO) |
| Authorized Official Telephone | 2188475611 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Essentia Health Menahga Clinic | Doing Business As Name - Organization |
| 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 |
| 1437290335 | St Mary's Regional Health Center | Assisted Living Facility | 208 Oak Street, Detroit Lakes, MN 56501 | 2007-02-12 |
| 1669998571 | St Mary's Regional Health Center | Occupational Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-08-22 |
| 1710403639 | St Mary's Regional Health Center | Speech-Language Pathologist | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2017-08-22 |
| 1639513377 | St Mary's Regional Health Center | Family Medicine | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2013-04-24 |
| 1558607408 | St Mary's Regional Health Center | Family Medicine | 110 Michigan Ave W, Walker, MN 56484-2274 | 2012-12-21 |
| 1699955344 | St Mary's Regional Health Center | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2007-11-10 |
| 1467640797 | St Mary's Regional Health Center | Durable Medical Equipment & Medical Supplies | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2007-10-11 |
| 1952484404 | St Mary's Regional Health Center | Hospice Care, Community Based | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-10-20 |
| 1518929934 | St Mary's Regional Health Center | Home Health | 115 W 2nd St, Graceville, MN 56240 | 2006-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST MARY'S REGIONAL HEALTH CENTER | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Street Address |
212 ASPEN AVE NE |
| City | MENAHGA |
| State | MN |
| Zip Code | 56464-3289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403639 | St Mary's Regional Health Center | Speech-Language Pathologist | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2017-08-22 |
| 1801332762 | Lindsay M Gray | Nurse Practitioner | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2017-01-16 |
| 1932260247 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 212 Aspen Ave Ne, Menahga, MN 56464 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144561457 | Colleen Leslie Berttunen | Registered Nurse | 15049 368th Street, Menahga, MN 56464 | 2013-03-12 |
| 1164773289 | Ernest Ray Huhta Jr. | Technician, Other | 19- 3rd St Se, Menahga, MN 56464 | 2012-09-28 |
| 1689739815 | Ind School Dist 821 | Local Education Agency (LEA) | 216 Aspen Ave Se, Menahga, MN 56464 | 2006-12-27 |
| 1639263981 | Snyders Drug | Pharmacy | Hwy 71, Menahga, MN 56464 | 2006-10-03 |
| 1629169297 | Restemayer Family Dentistry, PC | Dentist | 16 Birch Avenue N.e, Menahga, MN 56464 | 2006-09-27 |
| 1639167760 | Charles R Restemayer | Dentist | 16 Birch Ave Ne, Menahga, MN 56464-0130 | 2005-10-12 |
| 1609108141 | Seip Drug LLC | Pharmacy | 24 Aspen Avenue Ne, Menahga, MN 56464-0272 | 2010-02-09 |
| 1285630491 | David Lee Andress | Chiropractor | 19 3rd Street Se, Menahga, MN 56464-0385 | 2005-06-22 |
| 1952946907 | Jared Skoog | Occupational Therapist | 58534 State Highway 87, Menahga, MN 56464-2002 | 2019-11-14 |
| 1902461551 | Michael Ray Dozier | Non-emergency Medical Transport (VAN) | 14552 370th St, Menahga, MN 56464-2671 | 2019-05-08 |
| Find all providers in zip 56464 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 | ||||
Please comment or provide details below to improve the information on ST MARY'S REGIONAL HEALTH CENTER.
| 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.