AITKIN COMMUNITY HOSPITAL INC. (NPI# 1497217194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497217194 |
| Entity Type | Organization |
| Organization Name | AITKIN COMMUNITY HOSPITAL INC. |
| Practice Address |
200 Bunker Hill Dr Aitkin MN 56431-1865 |
| Practice Telephone | 9526532565 |
| Practice Fax Number | 9526532540 |
| Mailing Telephone | 9526532565 |
| Mailing Fax Number | 9526532540 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | SHARON K LINDBERG (ADMINISTRATOR) |
| Authorized Official Telephone | 2189275537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790909083 | Aitkin Community Hospital Inc. | Pharmacy | 27278 State Hwy 18, Garrison, MN 56450 | 2007-04-11 |
| Street Address |
200 BUNKER HILL DR |
| City | AITKIN |
| State | MN |
| Zip Code | 56431-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515506 | John Wesley Ziebarth | Nurse Anesthetist, Certified Registered | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2005-08-22 |
| 1124674478 | St Cloud Hospital | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2019-08-13 |
| 1942735709 | Tony Blankers | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2017-04-28 |
| 1285094318 | Kathleen Halbert | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2016-03-02 |
| 1588022958 | Karen Bartron-sundeen | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2016-02-01 |
| 1609254150 | Megan Zilmer | Dietitian, Registered | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2015-05-15 |
| 1548682354 | Michael Angelo Eannelli | Pharmacist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2014-01-14 |
| 1609217223 | Megan M Workman | Advanced Practice Midwife | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-07-11 |
| 1447690052 | Lisa M Thompson | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-06-27 |
| 1891134169 | Jan L. Hegman | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
| 1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
| 1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
| 1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
| 1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
| 1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
| 1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
| 1518379288 | Mclean Severson | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2014-05-28 |
| 1841384450 | Patrick L Holder | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
| 1902991318 | John E Fossen | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942735709 | Tony Blankers | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2017-04-28 |
| 1003250655 | Erik Bostrom | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-04-25 |
| 1124462080 | Melissa Jean Herbranson | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-04-23 |
| 1912224379 | Austin Richard Krohn | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2010-04-26 |
| 1184940090 | Aaron Matthew Jordan | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2010-04-16 |
| 1972678753 | Timothy S Komoto | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2006-11-21 |
| 1295844199 | David Douglas Taylor | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2006-08-30 |
| 1770524258 | Carmen Leah Johnson | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2006-06-08 |
| 1912975756 | Janelle Ap Trueblood | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2006-03-09 |
| 1487622460 | Donald B Hughes | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2006-03-08 |
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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.