TRI-COUNTY HOSPITAL, INC. (NPI# 1477545333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477545333 |
Entity Type | Organization |
Organization Name | TRI-COUNTY HOSPITAL, INC. |
Other Organization Name | TRI- COUNTY HEALTH CARE |
Practice Address |
415 Jefferson St N Wadena MN 56482-1264 |
Practice Telephone | 2186313510 |
Practice Fax Number | 2186317511 |
Mailing Telephone | 2186313510 |
Mailing Fax Number | 2186317511 |
Enumeration Date | 2005-08-17 |
Last Update Date | 2016-03-16 |
Authorized Official Name | MR. JOEL W BEISWENGER III (CEO) |
Authorized Official Telephone | 2186317489 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
328194 | MN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD MN | 1901HTR | 01 |
MN | 754347600 | 05 | |
MN | BLUE CROSS BLUE SHIELD MN | 85280TR | 01 |
Other Name | Type Code |
---|---|
Tri- County Health Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
1740311109 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-03-08 |
1881725224 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-03-08 |
Street Address |
415 JEFFERSON ST N |
City | WADENA |
State | MN |
Zip Code | 56482-1264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1669993192 | Sara Lynn Truax | Speech-Language Pathologist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-07-06 |
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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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366657025 | Tri-county Hospital | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-05-14 |
1740311109 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-03-08 |
1881725224 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-03-08 |
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---|---|---|---|---|
1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
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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.