NPIMap

St Marys Regional Health Center

A Medicare group practice based in Detroit Lakes, MN: 18 NPIs enrolled under one PECOS associate control ID (PAC ID 2062326820), with 302 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062326820The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
14
Group size
190 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
61In 12 places

Enrollment records 14

Enrollment IDStateProvider typeNPI
O20031117000090 MN Part B Supplier - Clinic/Group Practice 1679561088
O20060330000577 MN Part A Provider - Home Health Agency 1720078686
O20060328000559 MN Part A Provider - Hospital 1679561088
O20060328000588 MN Part A Provider - Skilled Nursing Facility 1578553160
O20100930089301 MN DME Supplier - Physician - Optometrist 1679561088
O20111209000744 MN Part A Provider - Rural Health Clinic 1750725586
O20150420002236 MN Part A Provider - Rural Health Clinic 1699955344
O20151014002138 MN Part A Provider - Rural Health Clinic 1558607408
O20151007000243 MN Part A Provider - Rural Health Clinic 1467798322
O20171115001791 MN Part A Provider - Hospice 1952484404
O20180523000429 MN Part A Provider - Home Health Agency 1518929934
O20140916001132 MN Part A Provider - Rural Health Clinic 1265876023
O20200706000531 MN Part A Provider - Rural Health Clinic 1730706656
O20190411000938 MN Part A Provider - Rural Health Clinic 1902364482

NPIs in this group 18

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 302

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (290) or whom Care Compare lists as members (190).

Sources for this page