BRAINERD MEDICAL CENTER INC (NPI# 1578034575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578034575 |
| Entity Type | Organization |
| Organization Name | BRAINERD MEDICAL CENTER INC |
| Other Organization Name | ESSENTIA HEALTH PEQUOT LAKES PHARMACY |
| Practice Address |
30581 Patriot Ave Ste A Pequot Lakes MN 56472-4112 |
| Practice Telephone | 2185685884 |
| Practice Fax Number | 2185688473 |
| Mailing Telephone | 2185685884 |
| Mailing Fax Number | 2185688473 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DAVID L PILOT (CFO) |
| Authorized Official Telephone | 2188287642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Essentia Health Pequot Lakes Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680046 | Brainerd Medical Center Inc | Pharmacy | 280 Barclay Ave W, Ste 1100, Pine River, MN 56474 | 2018-12-17 |
| 1841576261 | Brainerd Medical Center Inc | Pharmacy | 13060 Isle Dr, Baxter, MN 56425-8331 | 2011-10-31 |
| 1700162328 | Brainerd Medical Center Inc | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| 1295801777 | Brainerd Medical Center Inc | General Practice | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-11-28 |
| 1053342329 | Brainerd Medical Center Inc | Pharmacy | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-07-05 |
| Street Address |
30581 PATRIOT AVE STE A |
| City | PEQUOT LAKES |
| State | MN |
| Zip Code | 56472-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477930006 | Senior Class Care of Pequot Lakes, Inc. | Assisted Living Facility | 8898 Schaller Road, Pequot Lakes, MN 56472 | 2015-05-04 |
| 1831440312 | Jeevan Singh Dhouni | Pharmacist | 30103 Osceola Circle, Breezy Point, MN 56472 | 2012-09-25 |
| 1396918884 | John Kloster | Optometrist | 4461 Main St, Pequot Lakes, MN 56472 | 2008-04-07 |
| 1326222811 | Senior Class Home Health Care LLC | Home Health | 30849 1st Street, Pequot Lakes, MN 56472 | 2007-12-20 |
| 1598979940 | Loy Pfeiffer Inc | Pharmacy | 30984 Government Drive, Pequot Lakes, MN 56472 | 2007-05-09 |
| 1972656411 | Access Home Care, LLC | Home Health | 30392 Suffolk Circle, Pequot Lakes, MN 56472 | 2007-01-19 |
| 1427134428 | Joyce E. Neuman & Dean S. Brandt Ptrs. | Durable Medical Equipment & Medical Supplies | 4450 Main St, Pequot Lakes, MN 56472 | 2006-10-31 |
| 1326133786 | Ryan Dennis Buell | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-10-03 |
| 1376602656 | Pequot Lakes Chiropractic and Sports Injury Center P.a | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-12-06 |
| Find all providers in zip 56472 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PEQUOT LAKES |
| Zip Code | 56472 |
Please comment or provide details below to improve the information on BRAINERD MEDICAL CENTER INC.
| 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.