NPIMap

Organization Active NPI

Graceville Health Center

Doing business as Essentia Health - Holy Trinity Hospital

  • Critical Access Hospital
  • Graceville, MN
National Provider Identifier
1982673620
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
GRACEVILLE HEALTH CENTER
Doing business as
Essentia Health - Holy Trinity Hospital
Practice address
115 W 2ND St
Graceville, MN 56240-4803
Phone
(320) 748-7223
Fax
(320) 748-7225
NPI assigned
Mar 15, 2006
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ESSENTIA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Alan Hurley
Title
Coo
Phone
(701) 364-7667

Specialties & licenses 1

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

Addresses

Primary practice location

115 W 2ND St
Graceville, MN 56240-4803

Mailing address

115 W 2ND St
PO Box 157
Graceville, MN 56240-4803
Phone (320) 748-7223

Other identifiers 6

IdentifierTypeStateIssuer
5A75HGROtherMNBCBS
854545600MedicaidMN
300785OtherMNUCARE
8009696OtherMNPREFERRED ONE
50-25364OtherMNMEDICA-HOSPITAL
79988OtherMNHEALTH PARTNERS

Other names 1

  • Essentia Health - Holy Trinity Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031103000694 MN Part B Supplier - Clinic/Group Practice 4385556885 Receives reassigned benefits from 36 practitioners
3 other NPIs on this enrollment
Practice locations: Graceville, MN
O20070301000230 MN Part A Provider - Critical Access Hospital 4385556885 Receives reassigned benefits from 39 practitioners
Practice locations: Graceville, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982673620. Details of each certification follow.

Hospital certification: CCN 241321

Legal name
GRACEVILLE HEALTH CENTER
Doing business as
ESSENTIA HEALTH HOLY TRINITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 31, 2001
Last certification
May 9, 2018
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 1945 in MN
Enrollment address
115 W 2ND St
Graceville, MN 56240-4845
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Essentia Health Holy Trinity HospitalCCN 241321 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Stefanie Gefroh Ellison Individual Corporate OfficerPresident Aug 12, 2024
Tim D Heilman Individual Corporate DirectorBoard Member Jan 1, 2020
Marc Adams Individual Corporate DirectorBoard Member Jan 1, 2026
Mark Krejci Individual Corporate DirectorBoard Member Jan 1, 2026
Kimberly Pladson Individual Corporate DirectorBoard Member Jan 1, 2025
Essentia Health Organization, Duluth, MN Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023
James M Christensen Individual Corporate DirectorBoard Member Jan 1, 2020
Debra Jean Stueve Individual W-2 Managing EmployeeAdministrator Feb 26, 2024
Kevin S Boren Individual Corporate OfficerTreasurer Sep 29, 2025
Taylor Grant Mertz Individual Corporate DirectorBoard Member May 17, 2022
Anderson Saint Georges Individual Corporate DirectorBoard Member Jan 1, 2025
Michael Watters Individual Corporate OfficerSecretary Jul 1, 2023
Alan J Hurley Individual Corporate OfficerCoo May 18, 2023
W-2 Managing EmployeeCoo May 18, 2023
Benjamin Cody Smith Individual Corporate DirectorBoard Member May 17, 2022
Douglas J Arvin Individual Corporate OfficerVP of Finance / Cfo May 18, 2023
W-2 Managing EmployeeVP of Finance May 18, 2023
Laurie Ann Lewandowski Individual Corporate DirectorBoard Member Jan 1, 2017
Innovis Health LLC Organization, Fargo, ND LLC, Non-profit Operational/Managerial Control Jan 1, 2017

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 50

Practitioners & affiliated clinicians

Practitioners 45

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 45

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1982673620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 2ND ST",
            "address_2": "PO BOX 157",
            "city": "GRACEVILLE",
            "state": "MN",
            "postal_code": "562404803",
            "telephone_number": "320-748-7223",
            "fax_number": "320-748-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 2ND ST",
            "city": "GRACEVILLE",
            "state": "MN",
            "postal_code": "562404803",
            "telephone_number": "320-748-7223",
            "fax_number": "320-748-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEVILLE HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIA HEALTH",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "701-364-7667"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5A75HGR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854545600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "300785",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "8009696",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-HOSPITAL",
            "identifier": "50-25364",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "79988",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essentia Health - Holy Trinity Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graceville, MN

Sources for this page

Verify at the official NPI Registry.