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Organization Active NPI

International Falls Memorial Hospital Association

  • Critical Access Hospital
  • International Falls, MN
National Provider Identifier
1528041183
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
8404773 Issued in MN
Legal business name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Practice address
1400 Highway 71
International Falls, MN 56649-2154
Phone
(218) 283-4481
Fax
(218) 283-2281
NPI assigned
Nov 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Mr. Robert Pastor
Title
Ceo
Phone
(218) 283-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 8404773 MN Primary

Addresses

Primary practice location

1400 Highway 71
International Falls, MN 56649-2154

Mailing address

1400 Highway 71
International Falls, MN 56649-2154
Phone (218) 283-4481

Other identifiers 5

IdentifierTypeStateIssuer
1691HFAOtherMNBLUE CROSS
468845700MedicaidMN
N002356OtherMNTRIWEST
5025351OtherMNMEDICA
01010516OtherMNPREFERRED ONE

Other names 1

  • Rainy Lake Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20041118000626 MN Part B Supplier - Clinic/Group Practice 1951365998 Receives reassigned benefits from 63 practitioners
Practice locations: Littlefork, MN; International Falls, MN
O20061104000465 MN Part A Provider - Critical Access Hospital 1951365998 Receives reassigned benefits from 41 practitioners
Practice locations: International Falls, MN
O20080108000593 MN Part A Provider - Critical Access Hospital 1951365998 Practice locations: International Falls, MN
O20130909000251 MN Part A Provider - Rural Health Clinic 1951365998 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: International Falls, MN
O20160216001354 MN Part A Provider - Rural Health Clinic 1951365998 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Littlefork, MN

Hospital certification: CCN 241322

Legal name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
RAINY LAKE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2001
Last certification
Apr 17, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 12, 1945 in MN
Enrollment address
1400 Highway 71
International Falls, MN 56649-2154
Main/Primary Hospital Location

Hospital certification: CCN 24Z322

Legal name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
RAINY LAKE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Sep 12, 1945 in MN
Enrollment address
1400 Highway 71
International Falls, MN 56649-2154
Other Hospital Practice Location

Rural health clinic certification: CCN 243469

Legal name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
RAINY LAKE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 14, 2014
Last certification
Mar 19, 2014
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 12, 1945 in MN
Enrollment address
1400 Highway 71
International Falls, MN 56649-2154
Related CCNs
241322

Rural health clinic certification: CCN 243987

Legal name
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
RAINY LAKE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 12, 1995
Last certification
Nov 20, 2019
Ownership / control type
2B
Most recent change of ownership
Feb 1, 2016 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 12, 1945 in MN
Enrollment address
912 Main St
Unit C
Littlefork, MN 56653-9379
Related CCNs
241322

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Rainy Lake Medical CenterCCN 241322
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1400 Highway 71
#C63336
Intl Falls, MN 56649

912 Main St
Unit C
Littlefork, MN 56653
Phone (218) 278-2000

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
John Lawrence Winkel Individual Corporate OfficerBoard Member Aug 1, 2023
Richard Peterson Individual Corporate DirectorBoard of Trustee President Jan 31, 2017
Corporate DirectorPresident Board of Trustees Jan 31, 2017
Brian Briggs Individual Corporate DirectorBoard Member Aug 23, 2013
Corporate DirectorBoard of Trustee Member Apr 23, 2013
Susan Congrave Individual Corporate DirectorBoard Member Apr 1, 2004
Corporate DirectorBoard of Trustee Member Apr 15, 2004
Don Billig Individual Corporate DirectorBoard Member Apr 1, 2001
Corporate DirectorBoard of Trustee Member Apr 19, 2001
Robert L Pastor Individual Corporate OfficerCeoi Sep 1, 2018
W-2 Managing EmployeeCeo Sep 1, 2018
Corporate OfficerCeo Sep 1, 2018
Steven G Lindberg Individual Corporate DirectorBoard Member Mar 16, 2018
David W Usher Individual Corporate OfficerCfo Apr 1, 2025
W-2 Managing EmployeeAd; Apr 1, 2025
Craig O Boyer Individual Corporate OfficerCfo Feb 20, 2023
W-2 Managing EmployeeCfo Feb 20, 2023
Sherri Mannausau Individual Corporate DirectorBoard Member Jan 23, 2020
International Falls Memorial Hospital Association Organization, International Falls, MN Corporation, Non-profit Operational/Managerial Control Aug 21, 2013 100%
Brian Rauzi Individual Corporate OfficerCoo Jan 1, 2021
W-2 Managing EmployeeExecutive Director of Operations Dec 1, 2015

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Littlefork Care CenterLittlefork, MN, CCN 245542 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2016
Oct 23, 2025
Rainy Lake Medical CenterInternational Falls, MN, CCN 243469 Rural health clinic Operational/Managerial Control (100%) Aug 21, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 69

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

View all 69

Affiliated clinicians 81

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

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1528041183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 71",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492154",
            "telephone_number": "218-283-4481",
            "fax_number": "218-283-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 71",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492154",
            "telephone_number": "218-283-4481",
            "fax_number": "218-283-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "PASTOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-283-5488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "8404773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1691HFA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468845700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "N002356",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5025351",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01010516",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainy Lake Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rainy Lake Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in International Falls, MN

Sources for this page

Verify at the official NPI Registry.