Moose Lake Community Hospital District
Organization Active NPI Critical Access Hospital · Moose Lake, MN
NPI 1942398029 · NPPES record last updated Mar 18, 2016
Key facts
- NPI
- 1942398029
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 376047 (MN)
- Legal business name
- MOOSE LAKE COMMUNITY HOSPITAL DISTRICT
- Practice address
- 4572 County Road 61
Moose Lake, MN 55767-9401 - Phone
- (218) 485-4481
- Fax
- (218) 485-5845
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael J Delfs
- Title
- Chief Executive Officer
- Phone
- (218) 485-5858
Practitioners 243
-
Amina Adil, MD
-
Brian Joseph Aebly, D.O.
-
Andrew Ames, M.D.
-
Aleathea Rae Anderson, PA-C
-
Kristen Lee Anderson, CNP
-
Lisa Anne Arvold, M.D.
-
Adriana Nicole Askew, APRN, CRNA
-
Andrew John Ballard, APRN, CNP
-
Deviney Marie Benson, PA-C
-
Joseph Arlo Benson, D.O.
-
Zach Beresford, M.D.
-
Joseph Bettendorf, M.D.
-
Nicoli Franklin Bettin, APRN, CRNA
-
Shyam Sundar Bhupalam, MBBS
-
Hannah Bjerkness, PA-C
National Provider Directory
Locations
4614 Mike Colalillo Dr
Duluth, MN 55807
Phone (218) 786-6795
701 S Kenwood Ave
Moose Lake, MN 55767
Phone (218) 485-4481
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 376047 | MN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315245600 | Medicaid | MN | |
| 1757HME | Other | MN | BLUE CROSS BLUE SHIELD |
| 5024697 | Other | MN | MEDICA CHOICE |
Other names
- Mercy Hospital
Other providers in Moose Lake, MN
- Minnesota Sex Offender Program
- Brad J Montagne
- Moose Lake Community Hospital District
- Moose Lake Community Hospital District
- Moose Lake Community Hospital District
- Moose Lake Eye Care LLC
- Msocs-Moose Lake
- Jacob C Nelson
- Maggie Beth Neudecker
- Ronald William Neva
All providers in Moose Lake, MN · Critical Access Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.