PINE MEDICAL CENTER (NPI# 1568540847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568540847 |
| Entity Type | Organization |
| Organization Name | PINE MEDICAL CENTER |
| Practice Address |
109 Court Ave S Sandstone MN 55072-5120 |
| Practice Telephone | 3202455604 |
| Mailing Telephone | 3202455604 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | TIM ZWICKEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3202455605 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
330737 | MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| 1154852937 | Pine Medical Center | Ambulance | 705 Lundorff Dr, Sandstone, MN 55072-5099 | 2017-03-23 |
| 1003061011 | Pine Medical Center | Non-Pharmacy Dispensing Site | 109 Court Ave S, Sandstone, MN 55072-5120 | 2008-11-19 |
| 1205043841 | Pine Medical Center | Medicare Defined Swing Bed Unit | 705 Lundorff Drive South, Sandstone, MN 55072 | 2007-05-16 |
| 1659459931 | Pine Medical Center | Clinic/Center | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-11-02 |
| Street Address |
109 COURT AVE S |
| City | SANDSTONE |
| State | MN |
| Zip Code | 55072-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273087 | Premier Healthcare Management of Sandstone, LLC | Skilled Nursing Facility | 109 Court Ave S, Sandstone, MN 55072-5120 | 2005-05-31 |
| 1821530395 | Cynthia Anne Roden | Dietitian, Registered | 109 Court Ave S, Essentia Health Sandstone, Sandstone, MN 55072-5120 | 2016-11-15 |
| 1891149803 | Zane Charles Sundberg | Physical Therapist | 109 Court Ave S, Sandstone, MN 55072-5120 | 2016-04-15 |
| 1609241017 | Nicholas Michael Kovacs | Physical Therapist | 109 Court Ave S, Essentia Health Sandstone, Sandstone, MN 55072-5120 | 2015-12-10 |
| 1437404977 | Sara Frederickson Cogger | Physical Therapist | 109 Court Ave S, Essentia Health Sandstone, Sandstone, MN 55072-5120 | 2012-07-20 |
| 1306117080 | Vision Pro Optical | Technician/Technologist | 109 Court Ave S, Sandstone, MN 55072-5120 | 2012-01-26 |
| 1164734661 | Tanya Rose Christopherson | Dietitian, Registered | 109 Court Ave S, Pine Medical Center, Sandstone, MN 55072-5120 | 2010-07-13 |
| 1003061011 | Pine Medical Center | Non-Pharmacy Dispensing Site | 109 Court Ave S, Sandstone, MN 55072-5120 | 2008-11-19 |
| 1023171600 | James Richard Franzel | Emergency Medicine | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-12-18 |
| 1689737025 | Michael Joseph Debevec | Emergency Medicine | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034189 | Kc Companies of Sandstone Inc/sandstone Golden Horizons | Assisted Living Facility | 1109 Lundorff, Sandstone, MN 55072 | 2017-03-21 |
| 1124414032 | Sherri Lynn Anderson | Licensed Practical Nurse | 29916 Anderson Dr., Sandstone, MN 55072 | 2015-04-08 |
| 1346676541 | Sheila Ann Carr | Custodial Care Facility | 27295 Groningen Road, Sandstone, MN 55072 | 2013-09-19 |
| 1043497662 | Lori J Dougherty | Technician | 119 Fouth St., Sandstone, MN 55072 | 2008-01-25 |
| 1215114830 | Cindy Kuhlman | Technician | 119 Fourth St., Sandstone, FM 55072 | 2008-01-25 |
| 1699951590 | Reta Joyce Diedrich | Registered Nurse | 119 4th St., Sandstone, MN 55072 | 2008-01-10 |
| 1134303381 | Deedree Ann Ludwig | Community Health Worker | 119 4th. St., Sandstone, MN 55072 | 2007-12-24 |
| 1043494297 | Minnie Mae Delaney | Community Health Worker | 119 4th Street, Sandstone, MN 55072 | 2007-12-24 |
| 1710068838 | Chris A Ketchmark | Chiropractor | 301 N Commercial Ave, Sandstone, MN 55072 | 2006-10-17 |
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| Find all providers in zip 55072 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1306464953 | Allied Operation Support LLC | Clinic/Center | 2136 Ford Pkwy # 5195, Saint Paul, MN 55116-1863 | 2020-07-10 |
| 1902459209 | The Duluth Clinic Ltd | Clinic/Center | 1301 Miller Trunk Hwy Ste 400, Duluth, MN 55811-5639 | 2019-07-17 |
| 1780162552 | Presence Telehealth Pllc | Clinic/Center | 1232 S Oak Ave, Owatonna, MN 55060-3925 | 2018-08-02 |
| 1033641337 | Md Online Care P.C. | Clinic/Center | 7964 Brooklyn Blvd., Suite 140, Brooklyn Park, MN 55445-2391 | 2017-03-28 |
| 1447605514 | St. Francis Regional Medical Center | Clinic/Center | 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379-3164 | 2016-04-26 |
| 1942674452 | New Horizon Urgent Care and Clinic LLC | Clinic/Center | 7809 Southtown Ctr, Suite 343, Bloomington, MN 55431-1324 | 2015-11-20 |
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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.