NPIMap

Organization Active NPI

Community Behavioral Health Hospital Bemidji

Doing business as CBHH Bemidji

  • Psychiatric Hospital
  • Bemidji, MN
National Provider Identifier
1043331358
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
COMMUNITY BEHAVIORAL HEALTH HOSPITAL BEMIDJI
Doing business as
CBHH Bemidji
Practice address
800 Bemidji Ave N
Bemidji, MN 56601-3020
Phone
(218) 308-2400
NPI assigned
Apr 3, 2007
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Lynn Glancey
Title
Cfo
Phone
(651) 539-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

800 Bemidji Ave N
Bemidji, MN 56601-3020

Mailing address

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186

Other names 1

  • CBHH Bemidji Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101103000629 MN Part A Provider - Hospital 1658465315 Practice locations: Bemidji, MN
O20241107003318 MN Part B Supplier - Hospital Department(S) 1658465315 Receives reassigned benefits from 16 practitioners
Practice locations: Bemidji, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043331358. Details of each certification follow.

Hospital certification: CCN 244014

Legal name
COMMUNITY BEHAVIORAL HEALTH HOSPITAL BEMIDJI
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 2, 2010
Last certification
Oct 19, 2012
Beds
16
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
800 Bemidji Ave N
Bemidji, MN 56601-3054
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Behavioral Health Hospital - BemidjiCCN 244014 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1069369Community Behavioral Health Hospital Bemidji800 Bemidji Avenue North, Suite 200, Bemidji, MN 56601Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
State of Minnesota - Minnesota Management and Budget Organization, St Paul, MN Non-profit 5% Or Greater Direct Ownership Interest Mar 8, 2007 100%
Wade R Brost Individual Corporate OfficerExecutive Director May 22, 2013 100%
Operational/Managerial ControlExecutive Director May 22, 2013 100%
Lynn Marie Glancey Individual Corporate Officer Jul 1, 2025
W-2 Managing Employee Jul 1, 2025

Owners & managing parties with NPI records 5

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1043331358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013020",
            "telephone_number": "218-308-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL HEALTH HOSPITAL BEMIDJI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GLANCEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-539-7200"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBHH Bemidji",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CBHH Bemidji",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.