Active NPI
Monticello Big Lake Community Hospital
- Non-Pharmacy Dispensing Site
- Monticello, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- MONTICELLO BIG LAKE COMMUNITY HOSPITAL
- Practice address
- 1013 Hart Blvd
Monticello, MN 55362-8575 - Phone
- (952) 653-2528
- NPI assigned
- Feb 1, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Bonneville
- Title
- Medical Director
- Phone
- (952) 653-2528
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
1013 Hart Blvd
Monticello, MN 55362-8575
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
National Provider Directory
National Provider Directory- Tax ID family
- Centracare Health - Monticello
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CentraCare Health - Monticello
- Long Term Care Pharmacy
- Monticello, MN
- NPI 1831256320
-
- Critical Access Hospital
- Monticello, MN
- NPI 1891798823
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- Monticello, MN
- NPI 1336129626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316084767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 CITY WEST PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 HART BLVD",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628575",
"telephone_number": "952-653-2528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTICELLO BIG LAKE COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BONNEVILLE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "952-653-2528"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, MN
- Mid-Minnesota Neurology Clinic, P.a.
- Midwest Rehabilitation Supply, LLC
- Kiley Marie Milless
- Felicia Anna Mills
- Minnesota Ya Services LLC (Newport Institute-Monticello)
- Monticello Big Lake Hospital Nursing Home
- Monticello Dentistry PLLC
- Monticello Family Dentistry LLC
- Monticello Optical Center Inc.
- Monticello Physical Therapy & Sports Medicine, LLC (Monticello Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.