NPIMap

Organization Active NPI

Aitkin Community Hospital, Inc.

Doing business as Riverwood Pharmacy Aitkin

  • Community/Retail Pharmacy
  • Aitkin, MN
National Provider Identifier
1497377287
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AITKIN COMMUNITY HOSPITAL, INC.
Doing business as
Riverwood Pharmacy Aitkin
Practice address
171 Red Oak Dr
Aitkin, MN 56431-7432
Phone
(218) 429-4344
Fax
(218) 429-4345
NPI assigned
May 14, 2020
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Kristina SorensonNPI 1669871141
Title
Pic
Phone
(218) 429-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

171 Red Oak Dr
Aitkin, MN 56431-7432

Mailing address

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 429-3992

Other identifiers 1

IdentifierTypeStateIssuer
1497377287MedicaidMN

Other names 1

  • Riverwood Pharmacy Aitkin Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Aitkin Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924001634 MN Part B Supplier - Mass Immunization (Roster Biller Only) 4981514692 Practice locations: Aitkin, MN

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

Locations

171 Red Oak Dr
Aitkin, MN 56431
Phone (218) 429-4344

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

301 Minnesota Ave N
Aitkin, MN 56431
Phone (218) 927-2121

301 Minnesota Ave S
Aitkin, MN 56431
Phone (218) 829-0474

601 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 670-0005

Practitioners & affiliated clinicians

Practitioners 178

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.

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1497377287",
    "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": "218-429-3992",
            "fax_number": "218-927-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RED OAK DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564317432",
            "telephone_number": "218-429-4344",
            "fax_number": "218-429-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITKIN COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "218-429-4344"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497377287",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aitkin",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "171 Red Oak Dr",
            "city": "Aitkin",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564317432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverwood Pharmacy Aitkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aitkin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.