NPIMap

Organization Active NPI

Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Crookston, MN
National Provider Identifier
1487944898
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RIVERVIEW HEALTHCARE ASSOCIATION
Practice address
323 S Minnesota St
Crookston, MN 56716-1601
Phone
(800) 743-6551
Fax
(218) 281-9509
NPI assigned
Apr 19, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Betty Arvidson
Title
Cfo
Phone
(218) 281-9756

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 7

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

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 75

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

View all 75

Affiliated clinicians 137

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

View all 137

Care Compare: Hospital

Medicare Care Compare
Listed as
Riverview HospitalCCN 241320
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN3 enrollments

Hospital certification: CCN 241320

Legal name
RIVERVIEW HEALTHCARE ASSOCIATION
Doing business as
RIVERVIEW HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2001
Last certification
Aug 17, 2010
Beds
49 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 14, 1898 in MN
Enrollment address
323 S Minnesota St
Crookston, MN 56716-1601

Rural health clinic certification: CCN 243458

Legal name
RIVERVIEW HEALTHCARE ASSOCIATION
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 21, 2011
Last certification
May 22, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 31, 1898 in MN
Enrollment address
323 S Minnesota St
Crookston, MN 56716-1601
Related CCNs
241320

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040128000040 MN Part B Supplier - Clinic/Group Practice 7810806718 Receives reassigned benefits from 69 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Thief River Falls, MN; Red Lake Falls, MN; East Grand Forks, MN; Crookston, MN; Fertile, MN
O20060505000925 MN Part A Provider - Critical Access Hospital 7810806718 Receives reassigned benefits from 62 practitioners
8 other NPIs on this enrollment
Practice locations: Fertile, MN; Thief River Falls, MN; Red Lake Falls, MN; Crookston, MN; East Grand Forks, MN
O20110802000679 MN Part A Provider - Rural Health Clinic 7810806718 Practice locations: Crookston, MN

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Lori Keller Individual Corporate DirectorBoard Member Jul 30, 2020
Christopher Patrick Bruggeman Individual Corporate OfficerC.O.O. Sep 1, 2007
W-2 Managing EmployeeAd; Sep 1, 2007
W-2 Managing EmployeeC.O.O. Sep 1, 2007
Erik J Kanten Individual Corporate DirectorBoard Member Jan 28, 2019
W-2 Managing EmployeeBoard Memeber Jan 28, 2019
Judy Hulst Individual Corporate DirectorBoard Member Jan 1, 2025
Corporate DirectorBoard Member Jan 26, 2026
Brett K Vibeto Individual Corporate DirectorBoard Member Oct 31, 2019
W-2 Managing EmployeeBoard Memeber Oct 31, 2019
Tim James Brinkman Individual Corporate DirectorBoard Member Jan 22, 2018
Carrie a Michalski Individual Corporate OfficerC.E.O. Jan 1, 2012
W-2 Managing EmployeeAd; Jan 1, 2012
W-2 Managing EmployeeC.E.O. Jan 1, 2012
Kari Koenig Individual Corporate DirectorBoard Member Jan 28, 2019
Nicole Heldstab Individual Corporate DirectorBoard Member Jan 1, 2025
Corporate DirectorBoard Member Jan 26, 2026
Andrew S Oman Individual Corporate DirectorBoard Member Jan 26, 2026
Michelle M Fairman Cote Individual Corporate DirectorBoard Member Jan 1, 2025
Corporate DirectorBoard Member Jan 27, 2025
Tanner Holten Individual Corporate DirectorBoard Member Jan 1, 2025
Corporate DirectorBoard Member Jan 26, 2026

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

323 S Minnesota St
Crookston, MN 56716-1601

Mailing address

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2019.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1487944898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9200",
            "fax_number": "218-281-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "800-743-6551",
            "fax_number": "218-281-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HEALTHCARE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "ARVIDSON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-281-9756"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crookston, MN

Sources for this page

Verify at the official NPI Registry.