ELY-BLOOMENSON COMMUNITY HOSPITAL (NPI# 1659455897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659455897 |
| Entity Type | Organization |
| Organization Name | ELY-BLOOMENSON COMMUNITY HOSPITAL |
| Practice Address |
328 W Conan St Ely MN 55731-1145 |
| Practice Telephone | 2183653271 |
| Mailing Telephone | 2183653271 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | PATRICIA J BANKS (QUALITY HEALTH MANAGMENET OFFICER) |
| Authorized Official Telephone | 2183658765 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELY-BLOOMENSON COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 381970 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 122747500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770542904 | Ely-bloomenson Community Hospital | General Acute Care Hospital | 328 W Conan St, Ely, MN 55731-1145 | 2006-03-17 |
| Street Address |
328 W CONAN ST |
| City | ELY |
| State | MN |
| Zip Code | 55731-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715373 | Colleen Kloehn | Nurse Anesthetist, Certified Registered | 328 W Conan St, Ely, MN 55731-1145 | 2006-01-17 |
| 1366807810 | Beth Wilmunen | Pharmacist | 328 W Conan St, Ely, MN 55731-1145 | 2015-12-29 |
| 1447417217 | Ely Area Ambulance Service | Ambulance | 328 W Conan St, Ely, MN 55731-1145 | 2008-05-20 |
| 1235215385 | Ely Bloomenson Community Hospital and Nursing Home | Durable Medical Equipment & Medical Supplies | 328 W Conan St, Ely, MN 55731-1145 | 2006-10-31 |
| 1972539658 | Ely Bloomenson Community Hospital | Pharmacy | 328 W Conan St, Ely, MN 55731-1145 | 2006-06-24 |
| 1487698296 | Ruth Ann Logar | Nurse Anesthetist, Certified Registered | 328 W Conan St, Ely, MN 55731-1145 | 2006-06-15 |
| 1477591394 | Robert L Savereide | Surgery | 328 W Conan St, Ely, MN 55731-1145 | 2006-06-03 |
| 1295785574 | Sam P Rice | Family Medicine | 328 W Conan St, Ely, MN 55731-1145 | 2006-05-10 |
| 1770542904 | Ely-bloomenson Community Hospital | General Acute Care Hospital | 328 W Conan St, Ely, MN 55731-1145 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646110 | Bria Schurke | Physician Assistant | 1101 Ring Rock Rd, Ely, MN 55731 | 2019-05-31 |
| 1851738694 | Sonya Bland | Registered Nurse | 1701 Hwy 1, Ely, MN 55731 | 2013-06-03 |
| 1063513448 | Debra K Warner | Psychologist | 224 E Chapman, Rmhc Duluth Clinic, Ely, MN 55731 | 2006-09-26 |
| 1821107541 | Lars Lyle Roth | Chiropractor | 39 E Sheridan, Ely, MN 55731 | 2006-08-29 |
| 1801270798 | Nicholas Alexander Cooley | Family Medicine | 300 W Conan St, Ely, MN 55731 | 2015-07-10 |
| 1992943336 | Ely Family Dentistry | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2009-01-22 |
| 1417162207 | William J Scott Dds Pa | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2007-05-14 |
| 1902303670 | Scott Allen Hofstadter | Physical Therapy Assistant | 2160 Deer Ridge Rd, Ely, MN 55731-0593 | 2018-04-10 |
| 1477660777 | Boundary Waters Care Center | Skilled Nursing Facility | 200 W Conan St, Ely, MN 55731-1143 | 2006-08-23 |
| 1538503800 | Amanda Nierengarten | Occupational Therapist | 200 W Conan St, Ely, MN 55731-1143 | 2013-04-17 |
| Find all providers in zip 55731 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578060190 | Lori A Lewis | Home Health | 716 Pine St, Ely, NV 89301-1957 | 2018-04-10 |
| 1366786162 | Genesis Home Health Services, Inc. | Home Health | 1500 Avenue F, Suite D, Ely, NV 89301-3506 | 2012-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770399 | Tender Care Providers LLC | Home Health | 1794 Switchgrass Cir, Shakopee, MN 55379-8533 | 2020-11-07 |
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
| 1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
| 1841899846 | Hands On Care | Home Health | 1550 Larpenteur Ave W Apt 423, Falcon Heights, MN 55113-6364 | 2020-10-21 |
| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELY-BLOOMENSON 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.