NORTHERN ITASCA HOSPITAL DISTRICT (NPI# 1851335525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851335525 |
| Entity Type | Organization |
| Organization Name | NORTHERN ITASCA HOSPITAL DISTRICT |
| Other Organization Name | BIGFORK VALLEY HOSPITAL |
| Practice Address |
258 Pine Tree Drive Bigfork MN 56628 |
| Mailing Address |
258 Pine Tree Drive P.o. Box 258 Bigfork MN 56628 |
| Practice Telephone | 2187433177 |
| Practice Fax Number | 2187433559 |
| Mailing Telephone | 2187433177 |
| Mailing Fax Number | 2187433559 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | AARON CHRISTOPHER SAUDE (CEO) |
| Authorized Official Telephone | 2187434115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
331040 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 1010473 | 01 |
| MN | MEDICA CHOICE | 5025357 | 01 |
| MN | ARAZ | 98592 | 01 |
| MN | HOSPICE | 361259 | 01 |
| MN | IMCARE | 048545400 | 01 |
| MN | HEALTH PARTNERS | 2257 | 01 |
| MN | 048545400 | 05 | |
| MN | BLUE CROSS | 1547HNO | 01 |
| MN | UCARE | 300410 | 01 |
| Other Name | Type Code |
|---|---|
| Bigfork Valley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487797544 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2007-02-15 |
| 1336184688 | Northern Itasca Hospital District | Assisted Living Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-19 |
| 1194769265 | Northern Itasca Hospital District | Medicare Defined Swing Bed Unit | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1831133990 | Northern Itasca Hospital District | Skilled Nursing Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1740224807 | Northern Itasca Hospital District | Home Health | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1659315711 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1548204605 | Northern Itasca Hospital District | Clinic/Center | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| 1205870318 | Northern Itasca Hospital District | Lodging | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| Street Address |
258 PINE TREE DRIVE |
| City | BIGFORK |
| State | MN |
| Zip Code | 56628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558634 | Northern Itasca Hospital Pharmacy | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2011-12-06 |
| 1629345715 | Heather Leigh Bibeau | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2011-11-17 |
| 1598063711 | Courtney Anne Loveridge | Physical Therapist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-11 |
| 1679871909 | Harold Michael Olson Iv | Chiropractor | 258 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-10 |
| 1447569942 | Nrs Arizona, Pa | Radiology | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-09-30 |
| 1356655948 | Sara Ann Elioff | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-08-06 |
| 1538303730 | Jesse Lane | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2009-05-01 |
| 1487797544 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2007-02-15 |
| 1336184688 | Northern Itasca Hospital District | Assisted Living Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-19 |
| 1194769265 | Northern Itasca Hospital District | Medicare Defined Swing Bed Unit | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926477 | Megan Brekke | Dietitian, Registered | 258 Pine Tree Dr, Bigfork, MN 56628 | 2013-08-19 |
| 1669585329 | Bigfork Ambulance Service Association | Ambulance | 105 Ash Street, Bigfork, MN 56628 | 2006-08-16 |
| 1649218231 | Suanne Marie Dullard | Dentist | 100 Pinetree Dr, Bigfork, MN 56628 | 2006-06-03 |
| 1861467219 | Heidi Jean Korstad | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2006-02-21 |
| 1770073322 | Lucy Helen-nevanen Corrin | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2018-05-18 |
| 1407367261 | Catherine Lynn Porter | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2017-10-19 |
| 1508307018 | Cook Area Health Services, Inc. | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2017-03-16 |
| 1083165492 | Jeff Dahlquist | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2016-10-20 |
| 1164841540 | Barret Joella Myers Wolfson | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-14 |
| 1346669348 | Chelsea Mann | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-08 |
| Find all providers in zip 56628 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.