ST MARY'S REGIONAL HEALTH CENTER (NPI# 1518929934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518929934 |
| Entity Type | Organization |
| Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Other Organization Name | ESSENTIA HEALTH HOME CARE GRACEVILLE |
| Practice Address |
115 W 2nd St Graceville MN 56240 |
| Mailing Address |
114 Frazee St E Detroit Lakes MN 56501-3502 |
| Practice Telephone | 3207488211 |
| Practice Fax Number | 3207488247 |
| Mailing Telephone | 2188470808 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | RYAN L HILL (CFO) |
| Authorized Official Telephone | 2188475611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 330467 | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Essentia Health Home Care Graceville | 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 |
| 1467798322 | St Mary's Regional Health Center | Family Medicine | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2012-12-21 |
| 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 |
| 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 |
115 W 2ND ST |
| City | GRACEVILLE |
| State | MN |
| Zip Code | 56240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784981 | Arthur E Vanvranken | Family Medicine | 115 W 2nd St, Graceville, MN 56240-4845 | 2005-07-19 |
| 1588123558 | Samantha Jo Lennox | Speech-Language Pathologist | 115 W 2nd St, Graceville, MN 56240-4845 | 2019-03-18 |
| 1558884304 | Shelby K Johnson | Dietitian, Registered | 115 W 2nd St, Graceville, MN 56240-4845 | 2017-07-24 |
| 1114270378 | Connect Hearing, Inc. | Audiologist | 115 W 2nd St, Graceville, MN 56240-4845 | 2012-10-24 |
| 1811195985 | Jessica Anne Kleindl | Nurse Practitioner | 115 W 2nd St, Graceville, MN 56240-4845 | 2007-07-10 |
| 1477573582 | Graceville Health Center | Assisted Living Facility | 115 W 2nd St, Graceville, MN 56240-4847 | 2006-07-20 |
| 1134188907 | Graceville Health Center | Medicare Defined Swing Bed Unit | 115 W 2nd St, Graceville, MN 56240-4803 | 2006-03-21 |
| 1013976281 | Graceville Health Center | Clinic/Center | 115 W 2nd St, Graceville, MN 56240-4803 | 2006-03-17 |
| 1982673620 | Graceville Health Center | General Acute Care Hospital | 115 W 2nd St, Graceville, MN 56240-4803 | 2006-03-15 |
| 1215936455 | Jay M Schmidt | Family Medicine | 115 W 2nd St, Graceville, MN 56240-4803 | 2005-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791221 | Jerrica Thiel | Occupational Therapist | 115 West Second Street, Graceville, MN 56240 | 2018-08-24 |
| 1396828133 | City of Graceville | Ambulance | 415 Studdart Avenue, Graceville, MN 56240-0231 | 2006-10-23 |
| 1699744128 | Graceville Health Center | Skilled Nursing Facility | 116 W 2nd St, Graceville, MN 56240-4803 | 2006-03-16 |
| 1821092867 | Liebe Drug Inc | Durable Medical Equipment & Medical Supplies | 318 Studdart Ave, Graceville, MN 56240-7735 | 2005-06-08 |
| 1215553904 | Monica Rethke | Pharmacist | 318 Studdart Ave, Graceville, MN 56240-7735 | 2020-06-18 |
| 1003222654 | Lewis Family Drug LLC | Pharmacy | 318 Studdart Ave, Graceville, MN 56240-7735 | 2014-07-03 |
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770399 | Tender Care Providers LLC | Home Health | 1794 Switchgrass Cir, Shakopee, MN 55379-8533 | 2020-11-07 |
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
| 1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
| 1841899846 | Hands On Care | Home Health | 1550 Larpenteur Ave W Apt 423, Falcon Heights, MN 55113-6364 | 2020-10-21 |
| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | GRACEVILLE |
| Zip Code | 56240 |
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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.