ELY BLOOMENSON COMMUNITY HOSPITAL (NPI# 1972539658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972539658 |
| Entity Type | Organization |
| Organization Name | ELY BLOOMENSON COMMUNITY HOSPITAL |
| Other Organization Name | ELY COMMUNITY PHARMACY |
| Practice Address |
328 W Conan St Ely MN 55731-1145 |
| Practice Telephone | 2183658788 |
| Practice Fax Number | 2183658789 |
| Mailing Telephone | 2183658788 |
| Mailing Fax Number | 2183658789 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | BETH HARTSHORN (PHARMACIST IN CHRGE) |
| Authorized Official Telephone | 2183568788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
262191 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 218238600 | 05 | |
| PK | 2048324 | 01 |
| Other Name | Type Code |
|---|---|
| ELY COMMUNITY PHARMACY | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1770542904 | Ely-bloomenson Community Hospital | General Acute Care Hospital | 328 W Conan St, Ely, MN 55731-1145 | 2006-03-17 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700116050 | Ridley's Family Markets, Inc | Pharmacy | 1689 Great Basin Hwy, Ely, NV 89301-3154 | 2010-01-09 |
| 1831729268 | William Bee Ririe Retail Pharmacy | Pharmacy | 1500 Avenue H, Ely, NV 89301-2615 | 2020-01-24 |
| 1023322906 | Ridley's Family Markets, Inc | Pharmacy | 6 Steptoe Cir, Ely, NV 89301-2692 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| 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.