Swift County-Benson Hospital
Organization Active NPI Critical Access Hospital · Benson, MN
NPI 1174529002 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1174529002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 327689 (MN)
- Legal business name
- SWIFT COUNTY-BENSON HOSPITAL
- Practice address
- 1815 Wisconsin Ave
Benson, MN 56215-1653 - Phone
- (320) 843-4232
- Fax
- (320) 843-4172
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Dan Enderson
- Title
- Cofo
- Phone
- (320) 843-4232
Other NPIs on the same Medicare enrollment 2
Member of 1
Practitioners 53
-
Nicholas Grant Cain, CNP
-
Brendon M Cullinan, M.D.
-
Josie Marie Syverson, M.D.
-
Alfredmy G Chessor, M.D.
-
Robert D Farber, MD
-
Louise Annette Ferry, MA LAMFT
-
Laura B Fier, MD
-
Tyler Goettl, MD
-
Larry Jay Grong, D.O.
-
Alexander Matthew Hubbell, MD/MPH
-
Timothy Jay, MD
-
Thomas H Lange, MD
-
Claudette M Larson, LICSW
-
Rodney John Lee, MD
-
Joseph Michael Mayland, D.O.
-
Ann T McIntosh, MD
-
Steven T Meister, MD
-
Rosemary Nepsund, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528001145 | MN | Part B Supplier - Clinic/Group Practice | 8729069281 |
Receives reassigned benefits from 49 practitioners 2 other NPIs on this enrollment Practice locations: Benson, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 327689 | MN | Yes |
Addresses
Primary practice location
1815 Wisconsin Ave
Benson, MN 56215-1653
Mailing address
1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (320) 843-4232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304047000 | Medicaid | MN | |
| N004791 | Other | MN | TRICARE WEST |
| 1541ASW | Other | MN | BLUE CROSS PROV # |
| 1541HSW | Other | MN | BLUE CROSS PROV # |
| 706112242 | Other | MN | PRIMEWEST |
| 5025495 | Other | MN | MEDICA PROV # |
| 01013257 | Other | MN | PREFERRED ONE |
| 300548 | Other | MN | UCARE MINNESOTA |
Other providers in Benson, MN
- Swift County Benson Hospital
- Swift County Benson Hospital
- Swift County Benson Hospital
- Swift County Homes Inc.
- Swift County Human Services Agency
- Thrifty Drug Stores, Inc.
- Shawnda Tosel
- Shari Vanbriesen
- Jennifer Lynn Westrum
- Rachel A Wilcox
All providers in Benson, MN · Critical Access Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.