PERHAM HOSPITAL DISTRICT (NPI# 1568476323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568476323 |
| Entity Type | Organization |
| Organization Name | PERHAM HOSPITAL DISTRICT |
| Other Organization Name | PERHAM LIVING |
| Practice Address |
735 3rd St Sw Perham MN 56573-1152 |
| Mailing Address |
735 3rd St Sw Perham MN 56573-1122 |
| Practice Telephone | 2183474500 |
| Practice Fax Number | 2183464540 |
| Mailing Telephone | 2183474500 |
| Mailing Fax Number | 2183464540 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | MRS. JUSTINE ANDERSON (VP OF FINANCE) |
| Authorized Official Telephone | 2183471306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS | 1808EME | 01 |
| MN | 847242400 | 05 |
| Other Name | Type Code |
|---|---|
| Perham Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1710266986 | Perham Hospital District | Internal Medicine | 105 Otter Dr, Ottertail, MN 56571-7040 | 2011-08-05 |
| 1407843691 | Perham Hospital District | Home Health | 735 3rd Street Sw, Perham, MN 56573-1108 | 2005-10-03 |
| 1528485877 | Perham Hospital District | Non-Pharmacy Dispensing Site | 1000 Coney St W, Perham, MN 56573-2102 | 2014-03-25 |
| 1457631814 | Perham Hospital District | Internal Medicine | 665 3rd St Sw, Perham, MN 56573-1199 | 2011-08-17 |
| 1801176268 | Perham Hospital District | Internal Medicine | 20 W Centennial 84 Drive, New York Mills, MN 56567-0364 | 2011-08-17 |
| 1154467678 | Perham Hospital District | Pharmacy | 1000 Coney St W, Perham, MN 56573-2102 | 2007-01-30 |
| 1932113768 | Perham Hospital District | Hospitalist | 1000 Coney St W, Perham, MN 56573-2102 | 2006-07-28 |
| 1881608610 | Perham Hospital District | General Acute Care Hospital | 1000 Coney St W, Perham, MN 56573-2102 | 2006-07-28 |
| 1699789420 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney St W, Perham, MN 56573-2102 | 2006-07-28 |
| Street Address |
735 3RD ST SW |
| City | PERHAM |
| State | MN |
| Zip Code | 56573-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863758 | Morgan Hanson | Day Training/Habilitation Specialist | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-26 |
| 1538770508 | Kayla Anderson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-13 |
| 1851901599 | Margaret Rennicke | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-07 |
| 1932724523 | Mikayla Borah | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-10 |
| 1942824081 | Abigail Sweere | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-04 |
| 1952923815 | Jennifer Yost | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1225650179 | Amanda Marie Teberg | Day Training/Habilitation Specialist | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1841812708 | Tiffany Washek | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1225664766 | Kayla Ostlund | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-03-17 |
| 1174164628 | Jessica H Deleo | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
| 1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
| 1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
| 1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
| 1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
| 1194793562 | Richard W Masur | Emergency Medicine | 665 3rd St Sw, Perham, MN 56573-1108 | 2006-03-10 |
| Find all providers in zip 56573 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
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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.