DEER RIVER HEALTHCARE CENTER INC (NPI# 1609989326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609989326 |
| Entity Type | Organization |
| Organization Name | DEER RIVER HEALTHCARE CENTER INC |
| Other Organization Name | ESSENTIA HEALTH HOMESTEAD |
| Practice Address |
115 10th Ave Ne Deer River MN 56636-8795 |
| Practice Telephone | 2182462900 |
| Practice Fax Number | 2182463057 |
| Mailing Telephone | 2182462900 |
| Mailing Fax Number | 2182463013 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | STEVEN FELTMAN (CFO) |
| Authorized Official Telephone | 2187428662 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S DULUTH CLINIC HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 331919 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1609989326 | 05 | |
| MN | UCARE | 300367 | 01 |
| MN | MEDICA | 5025365 | 01 |
| MN | BLUE CROSS | 1604E | 01 |
| MN | PREFERRED ONE | 1021626 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health Homestead | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
| 1326512112 | Deer River Healthcare Center Inc | Family Medicine | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2019-01-15 |
| 1306394101 | Deer River Healthcare Center Inc | Clinic/Center | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2016-09-21 |
| 1255445581 | Deer River Healthcare Center Inc | Home Health | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2006-08-17 |
| Street Address |
115 10TH AVE NE |
| City | DEER RIVER |
| State | MN |
| Zip Code | 56636-8795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467439000 | Mark D. Gustafson | Family Medicine | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2005-12-26 |
| 1851991566 | Susan M Jewett | Physical Therapist | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2020-10-30 |
| 1912505611 | Kimberly Ann Deihl | Dietitian, Registered | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2020-10-14 |
| 1326512112 | Deer River Healthcare Center Inc | Family Medicine | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2019-01-15 |
| 1295266898 | Deer River Healthcare Center, Inc | Ambulance | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2017-03-24 |
| 1306394101 | Deer River Healthcare Center Inc | Clinic/Center | 115 10th Ave Ne, Deer River, MN 56636-8795 | 2016-09-21 |
| 1093136343 | Craig Stevens | Nurse Anesthetist, Certified Registered | 115 10th Ave Ne, Deer River, MN 56636-8975 | 2014-01-03 |
| 1669710257 | Sadie Lynn Norstrem | Speech-Language Pathologist | 115 10th Ave Ne, Essentia Health Deer River, Deer River, MN 56636-8795 | 2013-01-17 |
| 1770848772 | Daniel George Holmbeck | Physical Therapist | 115 10th Ave Ne, Deer River Healthcare Center, Deer River, MN 56636-8795 | 2012-07-06 |
| 1710242821 | Jeffrey Thomas Sheetz | Physical Therapist | 115 10th Ave Ne, Essentia Health Deer River, Deer River, MN 56636-8795 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1992251235 | Ashley Ann Seedorf | Counselor | 313 Main Avenue, Deer River, MN 56636 | 2016-08-28 |
| 1376969675 | Thomas Kleinkauf | Family Medicine | 33688 East Point Rd, Deer River, MN 56636 | 2014-03-11 |
| 1073527651 | Brielle A Loe | Family Medicine | 300 West Conan St., Duluth Clinic-ely, Ely, MN 56636 | 2006-07-28 |
| 1619949328 | Jeffrey Lee Carter | Dentist | 111 Main Street, Deer River, MN 56636 | 2006-02-06 |
| 1811425895 | Leah Hildebrandt | Dentist | 111 Main St, Po Box 40, Deer River, MN 56636 | 2017-06-02 |
| 1689739435 | Independent School District No 317 | Local Education Agency (LEA) | 101 1st Ave Ne, Deer River, MN 56636-0307 | 2006-12-22 |
| 1144794793 | Michaela Ashlyn Fairbanks | Specialist/Technologist | 44711 County Road 18, Deer River, MN 56636-2148 | 2019-01-16 |
| 1407153158 | Judy Louise Lemieux | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2011-02-15 |
| 1043554702 | Rodney C Horgen | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2012-11-19 |
| Find all providers in zip 56636 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DEER RIVER |
| Zip Code | 56636 |
Please comment or provide details below to improve the information on DEER RIVER HEALTHCARE 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.