MONTICELLO-BIG LAKE COMMUNITY HOSPITAL (NPI# 1588657696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588657696 |
| Entity Type | Organization |
| Organization Name | MONTICELLO-BIG LAKE COMMUNITY HOSPITAL |
| Other Organization Name | NEW RIVER MEDICAL CENTER |
| Practice Address |
1104 E River St Monticello MN 55362-8762 |
| Practice Telephone | 7632955116 |
| Mailing Telephone | 7632955116 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | MRS. SANDRA PAWELK (DIRECTOR OF BUSINESS OFFICE) |
| Authorized Official Telephone | 7632712306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 328129 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 053843400 | 05 |
| Other Name | Type Code |
|---|---|
| New River Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041052 | Monticello-big Lake Community Hospital | General Acute Care Hospital | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2005-08-30 |
| Street Address |
1104 E RIVER ST |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362-8762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912246232 | Centracare Health System-nr LLC | Skilled Nursing Facility | 1104 E River St, Monticello, MN 55362-8762 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| 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 |
|---|---|---|---|---|
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1407147614 | Monticello Hlth Mgmt LLC | Skilled Nursing Facility | 1780 N Jefferson Hwy, Monticello, FL 32344-5536 | 2011-04-21 |
| 1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
| 1700896883 | Monticello Healthcare Center, LLC | Skilled Nursing Facility | 1052 Old Warren Rd, Monticello, AR 71655 | 2006-08-09 |
| 1366494510 | Ggnsc Monticello LLC | Skilled Nursing Facility | 1194 N Chester St, Monticello, AR 71655-4133 | 2006-05-16 |
| 1144278565 | Monticello Community Care Center LLC | Skilled Nursing Facility | 700 Jefferson St., Monticello, MS 39654-0398 | 2006-05-05 |
| 1649239492 | Monticello Nursing Home Company | Skilled Nursing Facility | 500 Pinehaven Dr, Monticello, IA 52310-2049 | 2006-03-21 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1679565253 | Delta Health Group Inc | Skilled Nursing Facility | 1656 S Jefferson, Monticello, FL 32344-1652 | 2005-08-18 |
| 1124029871 | Monticello Partnership Ltd | Skilled Nursing Facility | 1780 N Jefferson, Monticello, FL 32344-5536 | 2005-08-03 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
Please comment or provide details below to improve the information on MONTICELLO-BIG LAKE COMMUNITY HOSPITAL.
| 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.