NPIMap

Ely-Bloomenson Community Hospital

A Medicare group practice based in Ely, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042200040), with 47 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042200040The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
MN
Enrollments
5
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20161005000718 MN DME Supplier - Pharmacy 1972539658
O20040513000074 MN Part B Supplier - Clinic/Group Practice 1770542904
O20080826000308 MN Part A Provider - Critical Access Hospital 1770542904
O20081015000121 MN Part A Provider - Critical Access Hospital 1770542904
O20250930000693 MN Part B Supplier - Pharmacy 1972539658

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 47

Clinicians who reassign their Medicare benefits to this group (47) or whom Care Compare lists as members (2).

Sources for this page