HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME (NPI# 1952690034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952690034 |
| Entity Type | Organization |
| Organization Name | HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME |
| Other Organization Name | IVANHOE MEDICAL CENTER |
| Practice Address |
315 N Norman St Ivanhoe MN 56142-9580 |
| Mailing Address |
503 E Lincoln St Po Box 106 Hendricks MN 56136-9598 |
| Practice Telephone | 5076941100 |
| Mailing Telephone | 5072753134 |
| Mailing Fax Number | 5072752242 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | MR. JEFF GOLLAHER (CEO) |
| Authorized Official Telephone | 5072753134 |
| Is Organization Subpart | Y |
| Parent Organization Name | HENDRICKS COMMUNITY HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER NUMBER | 243457 | 01 |
| Other Name | Type Code |
|---|---|
| Ivanhoe Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154407005 | Hendricks Community Hospital Assn & Retirement Home | Hospice Care, Community Based | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-10-31 |
| 1013206812 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 501 E Lincoln St, Hendricks, MN 56136-9598 | 2011-04-01 |
| 1154497527 | Hendricks Community Hospital Assn & Retirement Home | Medicare Defined Swing Bed Unit | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-11-28 |
| 1316026370 | Hendricks Community Hospital Assn & Retirement Home | General Acute Care Hospital | 503 East Lincoln Street, Hendricks, MN 56136-0106 | 2006-11-02 |
| 1588742217 | Hendricks Community Hospital Assn & Retirement Home | Home Health | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-11-01 |
| 1932285061 | Hendricks Community Hospital Assn & Retirement Home | Skilled Nursing Facility | 503 East Lincoln St, Hendricks, MN 56136-0106 | 2006-10-31 |
| Street Address |
315 N NORMAN ST |
| City | IVANHOE |
| State | MN |
| Zip Code | 56142-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713739 | Dawn R Bucher | Nurse Practitioner | 121 Saxon Ave West, Ivanhoe, MN 56142 | 2006-08-04 |
| 1861537482 | City of Ivanhoe | Ambulance | 401 North Harold Street, Ivanhoe, MN 56142-0054 | 2007-02-21 |
| 1780752915 | Richard Dean Mulder | Family Medicine | 121 Saxon Ave W, Ivanhoe, MN 56142-0076 | 2006-12-04 |
| 1215005442 | Timothy E Nealy | Family Medicine | 121 W Saxon Ave, Ivanhoe, MN 56142-0076 | 2006-12-04 |
| 1326072406 | Divine Providence Health Center Inc | Skilled Nursing Facility | 312 East George Street, Ivanhoe, MN 56142-0136 | 2006-07-11 |
| 1316162308 | Ivanhoe Clinic | Clinic/Center | 121 W Saxon St, Ivanhoe, MN 56142-9504 | 2007-04-16 |
| 1932345436 | Ashley Darlene Conner | Respite Care | 321 W Saxon St, Ivanhoe, MN 56142-9555 | 2009-01-05 |
| 1548644214 | Andrea Hofmeyer-lustfield | Counselor | 321 W Saxon St, Ivanhoe, MN 56142-9555 | 2015-07-13 |
| 1265664130 | Lincoln County Heartland Express | Bus | 319 N Rebecca St # 29, Ivanhoe, MN 56142-9572 | 2009-08-11 |
| 1043316201 | Ind School Dist 403 | Local Education Agency (LEA) | 421 N Rebecca St, Ivanhoe, MN 56142-9587 | 2006-09-15 |
| Find all providers in zip 56142 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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 |
| 1659568020 | Centracare Health System-long Prairie | Clinic/Center | 815 Highway 71 South, Eagle Valley Clinic, Eagle Bend, MN 56446-0298 | 2007-10-01 |
| 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.