NPIMap

Organization Active NPI

Moose Lake Community Hospital District

Doing business as Mercy Hospital

  • Critical Access Hospital
  • Moose Lake, MN
National Provider Identifier
1942398029
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
376047 Issued in MN
Legal business name
MOOSE LAKE COMMUNITY HOSPITAL DISTRICT
Doing business as
Mercy Hospital
Practice address
4572 County Road 61
Moose Lake, MN 55767-9401
Phone
(218) 485-4481
Fax
(218) 485-5845
NPI assigned
Oct 11, 2006
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Michael J Delfs
Title
Chief Executive Officer
Phone
(218) 485-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 376047 MN Primary

Addresses

Primary practice location

4572 County Road 61
Moose Lake, MN 55767-9401

Mailing address

4572 County Road 61
Moose Lake, MN 55767-9401
Phone (218) 485-4481

Other names 1

  • Mercy Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

701 S Kenwood Ave
Moose Lake, MN 55767
Phone (218) 485-4481

Practitioners & affiliated clinicians

Practitioners 243

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 243

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1942398029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 COUNTY ROAD 61",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679401",
            "telephone_number": "218-485-4481",
            "fax_number": "218-485-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 COUNTY ROAD 61",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679401",
            "telephone_number": "218-485-4481",
            "fax_number": "218-485-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSE LAKE COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "DELFS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "218-485-5858"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "376047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moose Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.