ST MARY'S REGIONAL HEALTH CENTER (NPI# 1699955344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699955344 |
| Entity Type | Organization |
| Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Other Organization Name | ESSENTIA HEALTH PARK RAPIDS CLINIC |
| Practice Address |
705 Pleasant Ave S Park Rapids MN 56470-1440 |
| Mailing Address |
1027 Washington Ave Detroit Lakes MN 56501-3409 |
| Practice Telephone | 2187322800 |
| Practice Fax Number | 2187322874 |
| Mailing Telephone | 2188475611 |
| Mailing Fax Number | 2188470881 |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | RYAN L HILL (CFO) |
| Authorized Official Telephone | 2188475611 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY'S REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 14522 | 05 | |
| MN | 800035000 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Park Rapids Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1437290335 | St Mary's Regional Health Center | Assisted Living Facility | 208 Oak Street, Detroit Lakes, MN 56501 | 2007-02-12 |
| 1669998571 | St Mary's Regional Health Center | Occupational Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-08-22 |
| 1710403639 | St Mary's Regional Health Center | Speech-Language Pathologist | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2017-08-22 |
| 1639513377 | St Mary's Regional Health Center | Family Medicine | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2013-04-24 |
| 1467798322 | St Mary's Regional Health Center | Family Medicine | 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2012-12-21 |
| 1558607408 | St Mary's Regional Health Center | Family Medicine | 110 Michigan Ave W, Walker, MN 56484-2274 | 2012-12-21 |
| 1467640797 | St Mary's Regional Health Center | Durable Medical Equipment & Medical Supplies | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2007-10-11 |
| 1952484404 | St Mary's Regional Health Center | Hospice Care, Community Based | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-10-20 |
| 1518929934 | St Mary's Regional Health Center | Home Health | 115 W 2nd St, Graceville, MN 56240 | 2006-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST MARY'S REGIONAL HEALTH CENTER | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Street Address |
705 PLEASANT AVE S |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513772 | Holly C Wright | Nurse Practitioner | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-01-19 |
| 1528616018 | Lydia Schroeder | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-08-28 |
| 1811545437 | Jessica Katherine Malinowski | Dermatology | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-08-27 |
| 1689239576 | Cassie M Kurtz | Advanced Practice Midwife | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-05-06 |
| 1073071924 | Kayse J Aho | Speech-Language Pathologist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-03-11 |
| 1609389279 | Kia Danielle Alton | Speech-Language Pathologist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-11-06 |
| 1669998571 | St Mary's Regional Health Center | Occupational Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-08-22 |
| 1215471529 | Angela Turnow | Physical Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-12-06 |
| 1770034027 | Rhea Wenschlag | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-10-21 |
| 1396299079 | Heather Foresman | Advanced Practice Midwife | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1174091904 | Amanda Marie Slaikeu | Physical Therapist | 705 Pleasant Avenue South, Park Rapids, MN 56470 | 2018-11-09 |
| 1184965261 | Hubbard County Sheriff's Office | Secured Medical Transport (VAN) | 203 Court Ave, Park Rapids, MN 56470 | 2013-03-14 |
| 1134481666 | Michelle Lynn Rice | Physical Therapy Assistant | 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1629330279 | Lois G. Mcclatchie | Physical Therapist | 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1891966479 | Jay C Jorgenson Dds Pa | Dentist | 406 Pleasant Ave, Park Rapids, MN 56470 | 2008-03-21 |
| 1629250063 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 | 2007-11-28 |
| Find all providers in zip 56470 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706656 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| Find all providers with the same taxonomy | ||||
| City | PARK RAPIDS |
| Zip Code | 56470 |
Please comment or provide details below to improve the information on ST MARY'S REGIONAL HEALTH CENTER.
| 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.