NPIMap

Organization Active NPI

Cuyuna Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Crosby, MN
National Provider Identifier
1033289707
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
328116 Issued in MN
Legal business name
CUYUNA REGIONAL MEDICAL CENTER
Doing business as
Cuyuna Regional Medical Center
Practice address
320 E Main St
Crosby, MN 56441-1645
Phone
(218) 546-7000
NPI assigned
Nov 9, 2006
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Katie Berg
Title
Director of Finance
Phone
(218) 546-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 328116 MN Primary

Addresses

Primary practice location

320 E Main St
Crosby, MN 56441-1645

Mailing address

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

Other names 1

  • Cuyuna Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929001054 MN Part A Provider - Critical Access Hospital 9537146550 Practice locations: Crosby, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033289707. Details of each certification follow.

Hospital certification: CCN 24Z353

Legal name
CUYUNA REGIONAL MEDICAL CENTER
Doing business as
CUYUNA REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
May 27, 1992 in MN
Enrollment address
320 E Main St
Crosby, MN 56441-1645
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cuyuna Regional Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paige E Holmgren Individual Corporate Director Jan 1, 2022
Andrea Bedard Individual Corporate DirectorBoard Member Aug 1, 2016
Kent Feltz Individual Corporate DirectorBoard Member Jan 1, 2022
Wade Leonard Individual Corporate DirectorBoard Member Jan 1, 2022
Katie J Berg Individual Corporate OfficerCfo Jun 9, 2017 100%
W-2 Managing EmployeeCfo Jun 9, 2017 100%
Jamie Skjeveland Individual Corporate DirectorBoard Member Jan 1, 2022
Joshua Michael Horowitz Individual Corporate DirectorBoard Member Jan 1, 2022
Amy L Hart Individual Corporate OfficerCeo Apr 1, 2022 100%
Bart Taylor Individual Corporate DirectorBoard Member Aug 1, 2016
Cuyuna Regional Medical Center Organization, Crosby, MN Non-profit Operational/Managerial Control Aug 1, 2016 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
HeartwoodCrosby, MN, CCN 245232 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control
Adp of the SNF		 Nov 9, 2022
May 17, 2023
Jan 2, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1033289707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411645",
            "telephone_number": "218-546-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411645",
            "telephone_number": "218-546-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUYUNA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "218-546-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MN",
            "license": "328116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cuyuna Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cuyuna Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crosby, MN

Sources for this page

Verify at the official NPI Registry.