NPIMap

Organization Active NPI

Aitkin Community Hospital Inc.,

  • Durable Medical Equipment & Medical Supplies
  • Garrison, MN
National Provider Identifier
1114157310
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
263024 Issued in MN
Legal business name
AITKIN COMMUNITY HOSPITAL INC.,
Practice address
27278 State Highway 18
Garrison, MN 56450
Phone
(320) 525-3401
Fax
(320) 525-3439
NPI assigned
Jul 22, 2009
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Kenneth Alton Westman
Title
Ceo
Phone
(218) 927-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 263024 MN Primary

Addresses

Primary practice location

27278 State Highway 18
Garrison, MN 56450

Mailing address

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

Other identifiers 1

IdentifierTypeStateIssuer
812137000MedicaidMN

Other names 1

  • Garrison Clinic Pharmacy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930009265 MN DME Supplier - Pharmacy 4981514692 Practice locations: Garrison, MN

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Riverwood Aitkin Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1114157310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-2121",
            "fax_number": "218-927-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27278 STATE HIGHWAY 18",
            "city": "GARRISON",
            "state": "MN",
            "postal_code": "56450",
            "telephone_number": "320-525-3401",
            "fax_number": "320-525-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITKIN COMMUNITY HOSPITAL INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "WESTMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-927-5501"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "263024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812137000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrison Clinic Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Garrison Clinic Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garrison, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.