Ely-Bloomenson Community Hospital
Organization Active NPI Home Health Agency · Ely, MN
NPI 1659455897 · NPPES record last updated May 11, 2018
Key facts
- NPI
- 1659455897
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 381970 (MN)
- Legal business name
- ELY-BLOOMENSON COMMUNITY HOSPITAL
- Practice address
- 328 W Conan St
Ely, MN 55731-1145 - Phone
- (218) 365-3271
- NPI assigned
- Oct 24, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ELY-BLOOMENSON COMMUNITY HOSPITAL
Authorized official
- Name
- Patricia J Banks
- Title
- Quality Health Managmenet Officer
- Phone
- (218) 365-8765
National Provider Directory
- Part of
- Emergency RM Physicians
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 381970 | MN | Yes |
Addresses
Primary practice location
328 W Conan St
Ely, MN 55731-1145
Mailing address
328 W Conan St
Ely, MN 55731-1145
Phone (218) 365-3271
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122747500 | Medicaid | MN |
Other providers in Ely, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.