Ortonville Area Health Services
Organization Active NPI Critical Access Hospital · Ortonville, MN
NPI 1790783587 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1790783587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 350419
- Legal business name
- ORTONVILLE AREA HEALTH SERVICES
- Practice address
- 450 Eastvold Ave
Ortonville, MN 56278-1252 - Phone
- (320) 839-2502
- Fax
- (320) 839-4105
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. David Rogers
- Title
- Administrator
- Phone
- (320) 839-2502
Owners & managing parties with NPI records 1
-
Allan E Ross, MD
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 7
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 24
-
Susan M Andersen, MD
-
Grant Wade Botker, M.D.
-
Tracy Lynn Dozak, NP-C
-
Sarah Fischer, MD
-
Stacy Ann Grossman, DNP
-
Isaac Knutson, PA-C
-
Amanda McMahon, MD
-
Kiana Conrad, CNP
-
Robert Gonzalez Jr., CRNA
-
Twila Johanna Mursu, PMHNP-BC
-
Taylor Peters, RDN
-
Eugene S Park, M.D.
-
Beth Fladhammer, CNP
-
Stacy Marie Longnecker, M.D.
-
Robert S Ross, MD
-
Robert A Cihak, M.D.
Affiliated clinicians 67
-
Susan M Andersen, MD
-
Grant Wade Botker, M.D.
-
Erika Marie Caslin, APRN,CNP
-
Kiana Conrad, CNP
-
Tracy Lynn Dozak, NP-C
-
Sarah Fischer, MD
-
Beth Fladhammer, CNP
-
Robert Gonzalez Jr., CRNA
-
Stacy Ann Grossman, DNP
-
Isaac Knutson, PA-C
-
Kathi Jo Kremer, C.F.N.P.
-
Amanda McMahon, MD
-
Jay M Schmidt, M.D.
-
Bipinkumar Amin, MD
-
Kevin D Benson, MD
-
Aaron David Berg, M.D.
-
Joni Buechler-Price, M.D.
-
Robert A Cihak, M.D.
Medicare Care Compare: Hospital
- Listed as
- Ortonville Area Health Services
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Hospital certification: CCN 241342
- Legal name
- ORTONVILLE AREA HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 1, 2002
- Last certification
- Aug 16, 2018
- Beds
- 29 (25 certified)
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 450 Eastvold Ave
Ortonville, MN 56278-1252
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Allan E Ross |
Corporate Officer |
Aug 31, 2022 | |
| Shane Michael Ayres |
Corporate Officer |
Oct 9, 2018 | |
| City of Ortonville |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Nicole Lovgren |
W-2 Managing Employee |
Jan 21, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061006000515 | MN | Part a Provider - Critical Access Hospital | 2365448768 |
Receives reassigned benefits from 17 practitioners Practice locations: Ortonville, MN |
National Provider Directory
- Tax ID family
- Ortonville Area Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 350419 | Yes |
Addresses
Primary practice location
450 Eastvold Ave
Ortonville, MN 56278-1252
Mailing address
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984545300 | Medicaid | MN | |
| 3175 | Other | MN | HEALTH PARTNERS |
| 5025407 | Other | MN | MEDICA |
| 512431 | Other | MN | AMERICA'S PPO/ARAZ PROVID |
| 117121841 | Other | MN | PRIMEWEST |
| 01014272 | Other | MN | PREFERRED ONE |
| 6340680 | Other | MN | AETNA PROVIDER NUMBER |
| 300696 | Other | MN | UCARE |
| 5520390 | Medicaid | SD | |
| 0120390 | Medicaid | SD | |
| 1790HOR | Other | MN | BLUE CROSS BLUE SHIELD |
Other providers in Ortonville, MN
- Ortonville Area Health Services
- Ortonville Area Health Services
- Ortonville Area Health Services
- Ortonville Area Health Services
- Ortonville Area Health Services
- Ortonville Area Health Services
- Ortonville Chiropractic Clinic
- Kristen Pearson Ash
- Gregory J. Peterson
- Tabitha Radermacher
All providers in Ortonville, MN · Critical Access Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.