NPIMap

Organization Active NPI

Perham Hospital District

Doing business as Perham Health

  • Critical Access Hospital
  • Perham, MN
National Provider Identifier
1790799518
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PERHAM HOSPITAL DISTRICT
Doing business as
Perham Health
Practice address
1000 Coney St W
Perham, MN 56573-2102
Phone
(218) 347-4500
Fax
(218) 346-4540
NPI assigned
Jul 28, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
William Stoderl
Title
Cfo
Phone
(218) 347-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

1000 Coney St W
Perham, MN 56573-2102

Mailing address

1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-4500

Other identifiers 7

IdentifierTypeStateIssuer
103925OtherMNCHOICE PLUS
1808HMEOtherMNBLUE CROSS
300416OtherMNUCARE OF MN
1006086OtherMNPREFERRED ONE
1741OtherMNHEALTH PARTNERS
211047400MedicaidMN
5017663OtherMNMEDICA

Other names 1

  • Perham Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000612 MN Part A Provider - Critical Access Hospital 2264327766 Receives reassigned benefits from 70 practitioners
1 other NPI on this enrollment
Practice locations: Perham, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790799518. Details of each certification follow.

Hospital certification: CCN 241373

Legal name
PERHAM HOSPITAL DISTRICT
Doing business as
PERHAM HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2005
Last certification
Nov 5, 2015
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
1000 Coney St W
Perham, MN 56573-2102

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).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Perham HealthCCN 241373 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Perham Hospital District7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Thomas P Meyer Individual Corporate DirectorBoard Member Jan 1, 2015
William Stoderl Individual Corporate OfficerCfo Jan 1, 2025
W-2 Managing EmployeeAd; Jun 25, 2018
Jared Bachelder Individual Corporate DirectorBoard Member Feb 15, 2025
Michael Brasel Individual Corporate Director Jun 27, 2018
Eugene Jahnke Individual Corporate Director Feb 1, 2010
Cynthia Rastedt Individual Corporate Director Oct 17, 2007
Sue Huebsch Individual Corporate Director Jan 1, 2024
Alana Vanwatermulen Individual Corporate Director Sep 26, 2018
Spencer Schram Individual Corporate Director Dec 1, 2017
Allan L Berube Individual Corporate Director Jan 31, 2017
Richard Richter Individual Corporate Director Oct 17, 2007
Erika Altstadt Individual W-2 Managing EmployeeExecutive Assistant Oct 24, 2018
Arvin Widness Individual Corporate DirectorBoard Member Jan 1, 2025
Michael Lee Individual Corporate DirectorBoard Member Jan 1, 2025
Alisyn Keil Individual Corporate Director Oct 17, 2007
Terry Marthaler Individual Corporate Director Feb 1, 2010
Charles Hofius Individual Contracted Managing EmployeeCeo Oct 17, 2007
Corporate OfficerCeo Oct 17, 2007

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Perham Living Home CarePerham, MN, CCN 248060 Home health agency Operational/Managerial Control Jul 16, 1998

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 75

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 75

Affiliated clinicians 255

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

View all 255

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1790799518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732102",
            "telephone_number": "218-347-4500",
            "fax_number": "218-346-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732102",
            "telephone_number": "218-347-4500",
            "fax_number": "218-346-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERHAM HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "STODERL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-347-1341"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE PLUS",
            "identifier": "103925",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1808HME",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "300416",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1006086",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "1741",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211047400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5017663",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Perham Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perham Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perham, MN

Sources for this page

Verify at the official NPI Registry.