NPIMap

Organization Active NPI

Unity Family Healthcare

Doing business as St. Gabriel's Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Little Falls, MN
National Provider Identifier
1437397940
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
24Z370 Issued in MN
Legal business name
UNITY FAMILY HEALTHCARE
Doing business as
St. Gabriel's Hospital
Practice address
815 2ND St SE
Little Falls, MN 56345-3505
Phone
(320) 632-5441
Fax
(320) 631-5480
NPI assigned
Jan 22, 2009
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Steven Smith
Title
President
Phone
(320) 631-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 24Z370 MN Primary

Addresses

Primary practice location

815 2ND St SE
Little Falls, MN 56345-3505

Mailing address

815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441

Other names 1

  • St. Gabriel's Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000109 MN Part A Provider - Critical Access Hospital 9830003516 Practice locations: Little Falls, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437397940. Details of each certification follow.

Hospital certification: CCN 24Z370

Legal name
UNITY FAMILY HEALTHCARE
Doing business as
ST GABRIELS HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1996 in MN
Enrollment address
815 2ND St SE
Little Falls, MN 56345-3505

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

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
St Gabriels Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Roxanne Thompson Individual Corporate DirectorBoard Member Nov 1, 2020
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1996 100%
Steven S. Smith Individual Corporate OfficerSite President Apr 1, 2011
W-2 Managing EmployeeSite President Apr 1, 2011
Kristine Erickson Individual Corporate DirectorBoard Jan 31, 2019
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health May 1, 2019
OtherCfo, Commonspirit Health Sep 2, 2023
Christine Gammon-Kruschek Individual Corporate DirectorBoard Jan 31, 2019
Amber G Stowman Individual Corporate OfficerVP Div of Finanace Aug 12, 2018
W-2 Managing EmployeeDiv VP of Finance Aug 12, 2018
Douglas Dahlberg Individual Corporate DirectorBoard Member Nov 1, 2020
John Hacker Individual Corporate DirectorBoard Member Jul 1, 2023
Caroline Stoltz Individual Corporate DirectorBoard Member Jul 1, 2023
Peter H Germscheid Individual Corporate DirectorBoard Member Nov 1, 2020
Jon Vetter Individual Corporate DirectorBoard Jul 1, 2016

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1437397940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453505",
            "telephone_number": "320-632-5441",
            "fax_number": "320-631-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453505",
            "telephone_number": "320-632-5441",
            "fax_number": "320-631-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-631-5600"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MN",
            "license": "24Z370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Gabriel's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Gabriel's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.