ELY-BLOOMENSON COMMUNITY HOSPITAL (NPI# 1770542904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770542904 |
| Entity Type | Organization |
| Organization Name | ELY-BLOOMENSON COMMUNITY HOSPITAL |
| Practice Address |
328 W Conan St Ely MN 55731-1145 |
| Practice Telephone | 2183653271 |
| Practice Fax Number | 2183658777 |
| Mailing Telephone | 2183653271 |
| Mailing Fax Number | 2183658777 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MR. JOHN FOSSUM (ADMINISTRATOR) |
| Authorized Official Telephone | 2183653271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
327664 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 122747500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659455897 | Ely-bloomenson Community Hospital | Home Health | 328 W Conan St, Ely, MN 55731-1145 | 2006-10-24 |
| 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 |
| 1659455897 | Ely-bloomenson Community Hospital | Home Health | 328 W Conan St, Ely, MN 55731-1145 | 2006-10-24 |
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1487648804 | William Bee Ririe Hospital | General Acute Care Hospital | 1500 Avenue H, Ely, NV 89301-2615 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 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.