DOUGLAS COUNTY HOSPITAL (NPI# 1861046971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861046971 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY HOSPITAL |
| Other Organization Name | LAKES ENT, A SERVICE OF ALOMERE HEALTH |
| Practice Address |
111 17th Ave E Ste 1 Alexandria MN 56308-5273 |
| Practice Telephone | 3207594326 |
| Practice Fax Number | 3207594327 |
| Mailing Telephone | 3207594326 |
| Mailing Fax Number | 3207594327 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | CARL P VAAGENES (ADMINISTRATOR) |
| Authorized Official Telephone | 3207626021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakes Ent, a Service of Alomere Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424305 | Douglas County Hospital | General Acute Care Hospital | 111 17th Ave E, Alexandria, MN 56308-3703 | 2005-06-01 |
| 1447526330 | Douglas County Hospital | Obstetrics & Gynecology | 610 30th Ave W, Alexandria, MN 56308-3426 | 2012-03-26 |
| 1427342138 | Douglas County Hospital | Specialist/Technologist | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2011-05-31 |
| 1346225182 | Douglas County Hospital | Pharmacy | 111 17th Ave E, Alexandria, MN 56308-3703 | 2005-12-14 |
| Street Address |
111 17TH AVE E STE 1 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477782738 | William Douglas Richards | Otolaryngology | 111 17th Ave E Ste 1, Alexandria, MN 56308-0057 | 2009-07-08 |
| 1841632510 | Holly Jane Eischens | Audiologist | 111 17th Ave E Ste 1, Alexandria, MN 56308-0057 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477782738 | William Douglas Richards | Otolaryngology | 111 17th Ave E Ste 1, Alexandria, MN 56308-0057 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609035781 | John Luther Boone | Otolaryngology | 6525 France Ave S Ste 325, Edina, MN 55435-2187 | 2008-06-04 |
| 1396181483 | Fareeda Taher Nazer Hussain | Otolaryngology | 1025 Marsh St, Mankato, MN 56001 | 2013-05-15 |
| 1730450297 | Prischmann Facial Plastic Surgery, Pllc | Otolaryngology | 5201 Eden Ave, Suite 170, Edina, MN 55436-2316 | 2012-01-15 |
| 1558688366 | Bryan Nicholas Rolfes | Otolaryngology | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2010-05-03 |
| 1407947518 | Gary Edwin Schnitker | Otolaryngology | 7300 France Ave S, Suite #100, Edina, MN 55435-4525 | 2006-09-27 |
| 1992795058 | Ilya Perepelitsyn | Otolaryngology | 2211 Park Ave, Minneapolis, MN 55404-3711 | 2005-10-28 |
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on DOUGLAS COUNTY 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.