COMMUNITY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1528103652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528103652 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
512 Skyline Blvd Cloquet MN 55720-3787 |
| Practice Telephone | 2188794641 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | MR. RICHARD L. BREUER (CEO) |
| Authorized Official Telephone | 2188787621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
331457 | MN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255496188 | Community Memorial Hospital Association | Medicare Defined Swing Bed Unit | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-12-22 |
| 1710924428 | Community Memorial Hospital Association | Skilled Nursing Facility | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-06-01 |
| 1003869082 | Community Memorial Hospital Association | Clinic/Center | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
| Street Address |
512 SKYLINE BLVD |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-3787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577033 | John James Baga | Internal Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2005-09-01 |
| 1689226185 | Jacob Klug | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-15 |
| 1144872383 | Lisa Beth Hay | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2019-07-09 |
| 1073021036 | Webmed LLC | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2018-01-11 |
| 1922518026 | Jacqueline Ehima | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2017-10-03 |
| 1881143022 | Lisa Leedham | Physician Assistant | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-09-29 |
| 1700236155 | Jean Lynn Maslowski | Dietitian, Registered | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-06-16 |
| 1720441686 | Natalie Krier Arreola | Family Medicine | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-03-29 |
| 1386005601 | Timothy Robert Weber | Nurse Practitioner | 512 Skyline Blvd, Cloquet, MN 55720 | 2016-03-14 |
| 1649656562 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730232323 | Bottelson Enterprises | Durable Medical Equipment & Medical Supplies | 601 W 98th St, Bloomington, MN 55420-4715 | 2007-01-19 |
Please comment or provide details below to improve the information on COMMUNITY MEMORIAL HOSPITAL ASSOCIATION.
| 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.