Organization Active NPI

County of Clearwater

Doing business as Clearwater County Nursing Service

  • Public Health or Welfare Agency
  • Bagley, MN
National Provider Identifier
1881703486
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CLEARWATER
Doing business as
Clearwater County Nursing Service
Practice address
212 Main Ave N
Bagley, MN 56621-8313
Phone
(218) 694-6581
Fax
(218) 694-6594
NPI assigned
Aug 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Bonnie Rae EngenNPI 1548597008
Title
Administrator
Phone
(218) 694-6581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 330351 MN
Community Based Hospice Care Agency 251G00000X 333488 MN
Public Health or Welfare Agency 251K00000X MN Primary

Addresses

Primary practice location

212 Main Ave N
Bagley, MN 56621-8313

Mailing address

212 Main Ave N
Bagley, MN 56621-8313
Phone (218) 694-6581

Other identifiers 4

IdentifierTypeStateIssuer
8G491CLOtherMNPUBLIC HEALTH
8233CLOtherMNHOME HEALTH
5900209OtherMNHOME HEALTH
8300122OtherMNPUBLIC HEALTH

Other names 1

  • Clearwater County Nursing Service Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0651718Clearwater County Nursing Service212 Main Avenue North, Bagley, MN 56621Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Clearwater Cnty Mem Hosp Phcy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

212 Main Ave N
Bagley, MN 56621
Phone (218) 694-6581

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881703486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN AVE N",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218313",
            "telephone_number": "218-694-6581",
            "fax_number": "218-694-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN AVE N",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218313",
            "telephone_number": "218-694-6581",
            "fax_number": "218-694-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLEARWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ENGEN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-694-6581"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "330351",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "333488",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH",
            "identifier": "8G491CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "8233CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "5900209",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH",
            "identifier": "8300122",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearwater County Nursing Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bagley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.