Active NPI
Clearwater Cnty Mem Hosp Phcy
- Institutional Pharmacy
- Bagley, MN
National Provider Identifier
1558397232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- Legal business name
- CLEARWATER CNTY MEM HOSP PHCY
- Practice address
- 203 4TH St NW
Bagley, MN 56621-8305 - Phone
- (218) 694-6501
- Fax
- (218) 694-2185
- NPI assigned
- Jun 24, 2006
- 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
- Barbara Bergquist, RPH
- Title
- Pharmasist in Charge
- Phone
- (218) 694-6501
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2057721 | MN | |
| Institutional Pharmacy | 3336I0012X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
203 4TH St NW
Bagley, MN 56621-8305
Mailing address
203 4TH St NW
Bagley, MN 56621-8305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2414681 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Clearwater Cnty Mem Hosp Phcy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Bagley, MN
- NPI 1952529323
-
- Public Health or Welfare Agency
- Bagley, MN
- NPI 1881703486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1558397232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 4TH ST NW",
"city": "BAGLEY",
"state": "MN",
"postal_code": "566218305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 4TH ST NW",
"city": "BAGLEY",
"state": "MN",
"postal_code": "566218305",
"telephone_number": "218-694-6501",
"fax_number": "218-694-2185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARWATER CNTY MEM HOSP PHCY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BERGQUIST",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "PHARMASIST IN CHARGE",
"authorized_official_telephone_number": "218-694-6501",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MN",
"license": "2057721",
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2414681",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bagley, MN
- Bemidji Area Program for Recovery, Inc.
- Kristyn Faith Bergh
- Bradley W Neujahr OD PA
- Michelle Vy Carr, PHARMD
- Janet Josephine Christianson, FNP-C
- Clearwater County Department of Human Services
- Clearwater County Memorial Hospital
- Clearwater County Memorial Hospital
- Clearwater Health Services
- Cornerstone Nursing and Rehab Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.