City of Clara City

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

352428 Issued in MN

Legal business name

CITY OF CLARA CITY

Doing business as

Clara City Care Center

Practice address

1012 Division Street North
Clara City, MN 56222-0797

Phone

(320) 847-2221

Fax

(320) 847-3553

NPI assigned

Sep 7, 2006

Last updated

Sep 19, 2024By 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

Matthew N Blum

Title

Administrator

Phone

(320) 847-7216

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Clara City Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932203320. Details of each certification follow.

• CCN 245573 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245573

Legal name

CITY OF CLARA CITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1991

Last certification

Feb 26, 2025

Beds

48

Ownership / control type

City

Organization structure

OtherNon-profit

Incorporated

Jan 1, 1966 in MN

Enrollment address

1012 Division N St
Clara City, MN 56222-1141

Nursing home name

CLARA CITY CARE CENTER

Listed as

Clara City Care CenterCCN 245573 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - City

Certified

Oct 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4831.8 residents per day on average

Penalties (3 years)

3Fines totaling $13,260

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

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.

• Nicholas David Donham Krueger, M.D.

  • Family Medicine Physician
  • Montevideo, MN
  • NPI 1417959768
  NPD (past)

Affiliated clinicians 4

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

• Kendall S Bos, MD

  • Internal Medicine Physician
  • Willmar, MN
  • NPI 1427024561

  Nursing home

  Care Compare affiliation
• Lana Jane Dirksen, MD

  • Family Medicine Physician
  • Montevideo, MN
  • NPI 1316381965

  Nursing home

  Care Compare affiliation
• Daniel S Fuglestad, MD

  • Family Medicine Physician
  • Willmar, MN
  • NPI 1215903935

  Nursing home

  Care Compare affiliation
• Nicholas David Donham Krueger, M.D.

  • Family Medicine Physician
  • Montevideo, MN
  • NPI 1417959768

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1932203320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DIVISION ST N",
            "city": "CLARA CITY",
            "state": "MN",
            "postal_code": "562221141",
            "telephone_number": "320-847-7216",
            "fax_number": "320-847-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 DIVISION STREET NORTH",
            "city": "CLARA CITY",
            "state": "MN",
            "postal_code": "562220797",
            "telephone_number": "320-847-2221",
            "fax_number": "320-847-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLARA CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-847-7216"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "335473",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "352428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0B50CL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454040900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER NUMBER",
            "identifier": "NH0229",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara City Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clara City Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CCM Health
• Clara City Ambulance Service
• Clara City Ambulance Service
• Jonathan Jay Grussing, D.C.
• Christine Hamre
• Heartland Family Chiropractic, P.a.

• Skilled Nursing Facility in Clara City, MN
• Providers in Clara City, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.