PERHAM HOSPITAL DISTRICT (NPI# 1699789420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699789420 |
Entity Type | Organization |
Organization Name | PERHAM HOSPITAL DISTRICT |
Other Organization Name | PERHAM HEALTH |
Practice Address |
1000 Coney St W Perham MN 56573-2102 |
Practice Telephone | 2183474500 |
Practice Fax Number | 2183464540 |
Mailing Telephone | 2183474500 |
Mailing Fax Number | 2183464540 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2012-03-30 |
Authorized Official Name | MR. BRADLEY DEAN WURGLER (CFO) |
Authorized Official Telephone | 2183471302 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Perham Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
1710266986 | Perham Hospital District | Internal Medicine | 105 Otter Dr, Ottertail, MN 56571-7040 | 2011-08-05 |
1568476323 | Perham Hospital District | Skilled Nursing Facility | 735 3rd St Sw, Perham, MN 56573-1152 | 2006-07-28 |
1407843691 | Perham Hospital District | Home Health | 735 3rd Street Sw, Perham, MN 56573-1108 | 2005-10-03 |
1528485877 | Perham Hospital District | Non-Pharmacy Dispensing Site | 1000 Coney St W, Perham, MN 56573-2102 | 2014-03-25 |
1457631814 | Perham Hospital District | Internal Medicine | 665 3rd St Sw, Perham, MN 56573-1199 | 2011-08-17 |
1801176268 | Perham Hospital District | Internal Medicine | 20 W Centennial 84 Drive, New York Mills, MN 56567-0364 | 2011-08-17 |
1154467678 | Perham Hospital District | Pharmacy | 1000 Coney St W, Perham, MN 56573-2102 | 2007-01-30 |
1932113768 | Perham Hospital District | Hospitalist | 1000 Coney St W, Perham, MN 56573-2102 | 2006-07-28 |
1881608610 | Perham Hospital District | General Acute Care Hospital | 1000 Coney St W, Perham, MN 56573-2102 | 2006-07-28 |
Street Address |
1000 CONEY ST W |
City | PERHAM |
State | MN |
Zip Code | 56573-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982913505 | Illene T Reed | Family Medicine | 1000 Coney St W, Perham, MN 56573-2102 | 2006-05-05 |
1174001648 | Jodie Trites | Pharmacist | 1000 Coney St W, Perham, MN 56573-2102 | 2018-08-06 |
1649774670 | Colleen Ann Bauck | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2018-03-23 |
1770090094 | Amanda Carol Houghtaling | Nurse Practitioner | 1000 Coney St W, Perham, MN 56573-2102 | 2018-01-08 |
1467971572 | Rose Marie Mader | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2017-09-11 |
1134656994 | Matthew David Haugen | Family Medicine | 1000 Coney St W, Perham, MN 56573-2102 | 2017-05-11 |
1720521818 | Shannon Marie Guck | Physician Assistant | 1000 Coney St W, Perham, MN 56573-2102 | 2016-11-22 |
1962854646 | Rayna Bergseth | Nurse Practitioner | 1000 Coney St W, Perham, MN 56573-2102 | 2016-07-06 |
1821403635 | Kevin Dale Swenson | Physician Assistant | 1000 Coney St W, Perham, MN 56573-2102 | 2014-07-01 |
1972918472 | Melinda Kay Anderson | Nurse Practitioner | 1000 Coney St W, Perham, MN 56573-2102 | 2014-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
Find all providers in zip 56573 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326511361 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1000 Coney St W Ste C100, Perham, MN 56573-2102 | 2019-01-02 |
1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
1811142185 | Ultimate Mobility LLC | Durable Medical Equipment & Medical Supplies | 301 Coney St W, Perham, MN 56573-2110 | 2008-11-29 |
1912183542 | Pill Alert | Durable Medical Equipment & Medical Supplies | 40810 Marion Dr N, Perham, MN 56573-9010 | 2008-01-14 |
1871682476 | White Drug Enterprises Inc | Durable Medical Equipment & Medical Supplies | 211 Market Dr Ste C, Perham, MN 56573-2125 | 2006-10-12 |
1558473546 | East Ottertail Pharmacy | Durable Medical Equipment & Medical Supplies | 1000 Coney St W, Perham, MN 56573-2102 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041782 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 701 Hewitt Blvd Ste 2115, Red Wing, MN 55066-2848 | 2020-10-19 |
1144827197 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1151 Ryans Rd Ste 100, Worthington, MN 56187-1769 | 2020-10-02 |
1932706082 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 131 St Olaf Ave N, Canby, MN 56220-1371 | 2020-10-01 |
1154936540 | Caerus Corp | Durable Medical Equipment & Medical Supplies | 1251 Red Fox Rd # 603, Arden Hills, MN 55112-6943 | 2020-09-11 |
1043829286 | Janet Kay Strassburg | Durable Medical Equipment & Medical Supplies | 4601 Excelsior Blvd Ste 401, St Louis Park, MN 55416-4977 | 2020-07-23 |
1336766294 | Royal Apex Solutions LLC | Durable Medical Equipment & Medical Supplies | 700 Fox Rd, Lino Lakes, MN 55014-5468 | 2020-06-26 |
1215554225 | Mesa, LLC | Durable Medical Equipment & Medical Supplies | 2603 Bloomington Ave, Minneapolis, MN 55407-1137 | 2020-06-26 |
1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
1942829569 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2300 Hasting Ave, Suite 1, Newport, MN 55055 | 2020-04-14 |
1508495797 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1201 Center Ave W, Dilworth, MN 56529-1352 | 2020-04-08 |
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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.