Warren Community Hospital, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

WARREN COMMUNITY HOSPITAL, INC.

Doing business as

North Valley Public Health

Practice address

115 S Main St Ste 1
Warren, MN 56762-1424

Phone

(218) 745-5154

Fax

(218) 745-4936

NPI assigned

Jun 20, 2006

Last updated

Dec 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Earl Linnell

Title

Ceo

Phone

(218) 745-4211

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• North Valley Public Health Doing business as

Electronic endpoints 1

Tax ID family

Warren Hospital Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Warren Community Hospital, Inc.

  dba North Valley Health Center

  • Rural Health Clinic/Center
  • Warren, MN
  • NPI 1972642213
  NPD tax ID

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1881630879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST STE 1",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621424",
            "telephone_number": "218-745-5154",
            "fax_number": "218-745-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST STE 1",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621424",
            "telephone_number": "218-745-5154",
            "fax_number": "218-745-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "LINNELL",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-745-4211"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1904AWA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8300125",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167526",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G497NO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809853100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccd@direct.northvalleyhealth.org",
            "affiliation": "N",
            "address_1": "300 W Good Samaritan Dr",
            "city": "Warren",
            "state": "MN",
            "country_code": "US",
            "postal_code": "567621412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Valley Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Skeim, FNP-C
• Jill J Smith, NP-C
• Nicole Rose Steien
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Warren)
• Warren Community Hospital, Inc. (North Valley Health Center)
• Warren Community Hospital, Inc. (North Valley Health Center)
• Warren Economic Development Authority (North Star Assisted Living)
• Warren Eye Care, P.C.
• Warren Pharmacy Inc (Warren Pharmacy LTC)
• Warren Pharmacy Inc (Warren Pharmacy)

• Public Health or Welfare Agency in Warren, MN
• Providers in Warren, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.