NPIMap

Organization Active NPI

Aitkin Community Hospital, Inc.

  • Rural Health Clinic/Center
  • McGregor, MN
National Provider Identifier
1245395409
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AITKIN COMMUNITY HOSPITAL, INC.
Practice address
2 E Center Ave
McGregor, MN 55760
Phone
(218) 768-4011
Fax
(218) 768-4814
NPI assigned
Dec 27, 2006
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 A Westman
Title
Ceo
Phone
(218) 927-5501

Specialties & licenses 1

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

Addresses

Primary practice location

2 E Center Ave
McGregor, MN 55760

Mailing address

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2157

Other identifiers 4

IdentifierTypeStateIssuer
120128OtherUCARE
47305OtherHEALTH PARTNERS
139018000MedicaidMN
39A31RIOtherBLUE CROSS

Other names 1

  • Riverwood Healthcare Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031103000576 MN Part A Provider - Rural Health Clinic 4981514692 Practice locations: McGregor, MN
O20031107000093 MN Part B Supplier - Clinic/Group Practice 4981514692 Receives reassigned benefits from 185 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aitkin, MN; Garrison, MN; McGregor, MN

Rural health clinic certification: CCN 243407

Legal name
AITKIN COMMUNITY HOSPITAL INC
Doing business as
RIVERWOOD MCGREGOR CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 21, 1996
Last certification
Aug 16, 2012
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1948 in MN
Enrollment address
2 E Center Ave
McGregor, MN 55760-1433

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 4

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

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
24D0403779Riverwood Clinic McGregor2 East Center Avenue, McGregor, MN 55760AccreditationOct 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Lowell Larson Individual Corporate DirectorGoverning Board Member Oct 9, 2019
Chad Gross Individual Corporate DirectorBoard Member Jan 9, 2013
David Douglas Taylor Individual Corporate OfficerChief Medical Officer Dec 17, 2018
Casey Johnson Individual Corporate OfficerChief Financial Officer Jun 16, 2014
Jared Lundgren Individual Corporate DirectorBoard Member Jan 1, 2013
Heidi S Price Individual W-2 Managing EmployeeBusiness Office Manager Feb 1, 2013
Cindi Baker Individual Corporate OfficerChief Operating Officer Apr 2, 2016
Christine Bright Marwede Individual Corporate DirectorGoverning Board Apr 6, 2015
Kathleen M Ryan Individual Corporate DirectorBoard Member Dec 2, 2013
Carla Zubko Individual Corporate OfficerChief Nursing Officer Aug 1, 2021
Kenneth a Westman Individual Corporate OfficerChief Executive Officer Feb 14, 2022
Michael Paulbeck Individual Corporate DirectorBoard Member Jan 1, 2012
Jeffrey G Ehnstrom Individual Corporate DirectorBoard Member Apr 30, 2004
Wendy M Franke Individual Corporate OfficerChief Quality Officer Jan 10, 2022
Lee Reichenbach Individual Corporate OfficerChief Human Resource Officer Jan 10, 2022
Timothy G Dirks Individual Corporate DirectorBoard Member Jul 1, 2013
Thomas Lundberg Individual Corporate DirectorBoard Member Jan 1, 2013

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1245395409",
    "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": "564311865",
            "telephone_number": "218-927-2157",
            "fax_number": "218-927-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CENTER AVE",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "55760",
            "telephone_number": "218-768-4011",
            "fax_number": "218-768-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITKIN COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "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": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-927-5501"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "47305",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139018000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "39A31RI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverwood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McGregor, MN

Sources for this page

Verify at the official NPI Registry.