NPIMap

Organization Active NPI

Ortonville Area Health Services

  • Critical Access Hospital
  • Ortonville, MN
National Provider Identifier
1790783587
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 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
Last updated
Sep 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Mr. David Rogers
Title
Administrator
Phone
(320) 839-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 350419 Primary

Addresses

Primary practice location

450 Eastvold Ave
Ortonville, MN 56278-1252

Mailing address

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061006000515 MN Part A Provider - Critical Access Hospital 2365448768 Receives reassigned benefits from 17 practitioners
Practice locations: Ortonville, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790783587. Details of each certification follow.

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
OtherNon-profit
Enrollment address
450 Eastvold Ave
Ortonville, MN 56278-1252

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ortonville Area Health ServicesCCN 241342 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ortonville Area Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Allan E Ross Individual Corporate OfficerCeo Aug 31, 2022
Shane Michael Ayres Individual Corporate OfficerCfo Oct 9, 2018
City of Ortonville Organization, Ortonville, MN 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Nicole Lovgren Individual W-2 Managing EmployeeDirector of Nursing Jan 21, 2016

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 23

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 23

Affiliated clinicians 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1790783587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252",
            "telephone_number": "320-839-2502",
            "fax_number": "320-839-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252",
            "telephone_number": "320-839-2502",
            "fax_number": "320-839-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTONVILLE AREA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-839-2502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": "350419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MN

Sources for this page

Verify at the official NPI Registry.