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International Falls Memorial Hospital Association

Organization Active NPI Rural Health Clinic/Center · International Falls, MN

NPI 1194237990 · NPPES record last updated Jun 2, 2021

Key facts

NPI
1194237990
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Practice address
1400 Highway 71
International Falls, MN 56649-2154
Phone
(218) 283-5503
Fax
(218) 283-7901
NPI assigned
Nov 2, 2017
Organization subpart
No

Authorized official

Name
Mr. Robert Pastor
Title
Ceo
Phone
(218) 283-5488

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 4

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

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

Facilities with the same owner 1

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

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Rural health clinic certification: CCN 243469

Legal name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
RAINY LAKE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 14, 2014
Last certification
Mar 19, 2014
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Sep 12, 1945 in MN
Enrollment address
1400 Highway 71
International Falls, MN 56649-2154
Related CCNs
241322

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
John Lawrence Winkel
Individual 		Corporate Officer
Board Member		 Aug 1, 2023
Craig O Boyer
Individual 		Corporate Officer
Cfo		 Feb 20, 2023
W-2 Managing Employee
Cfo		 Feb 20, 2023
International Falls Memorial Hospital Association
Organization · International Falls, MN
Corporation, Non-profit 		Operational/Managerial Control Aug 21, 2013 100%
Richard Peterson
Individual 		Corporate Director
Board of Trustee President		 Jan 31, 2017
Brian Briggs
Individual 		Corporate Director
Board of Trustee Member		 Apr 23, 2013
Susan Congrave
Individual 		Corporate Director
Board of Trustee Member		 Apr 15, 2004
Don Billig
Individual 		Corporate Director
Board of Trustee Member		 Apr 19, 2001
Sherri Mannausau
Individual 		Corporate Director
Board Member		 Jan 23, 2020
Robert L Pastor
Individual 		Corporate Officer
Ceo		 Sep 1, 2018
W-2 Managing Employee
Ceo		 Sep 1, 2018
Steven G Lindberg
Individual 		Corporate Director
Board Member		 Mar 16, 2018

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Littlefork Care Center
Littlefork, MN · CCN 245542		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2016
Oct 23, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130909000251 MN Part a Provider - Rural Health Clinic 1951365998 1 other NPI on this enrollment
Practice locations: International Falls, MN

National Provider Directory

Tax ID family
International Falls Memorial Hospital Association (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1400 Highway 71
International Falls, MN 56649-2154

Mailing address

1400 Highway 71
International Falls, MN 56649-2154
Phone (218) 283-4481

Other identifiers

IdentifierTypeStateIssuer
243469OtherMNMEDICARE

Other names

  • Rainy Lake Medical Center Doing business as

Other providers in International Falls, MN

All providers in International Falls, MN · Rural Health Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.