MOOSE LAKE COMMUNITY HOSPITAL DISTRICT NPI 1104902352

NPI Information

NPI: 1104902352
Provider Name: MOOSE LAKE COMMUNITY HOSPITAL DISTRICT

Doing Business As: MERCY HOSPITAL & HEALTH CARE CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
710 S KENWOOD AVE
MOOSE LAKE, MN
ZIP 55767
Phone: (218) 485-4481
Get Directions

MOOSE LAKE COMMUNITY HOSPITAL DISTRICT is a critical access general acute care hospital in Moose Lake, MN. MOOSE LAKE COMMUNITY HOSPITAL DISTRICT NPI is 1104902352. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Hospital & Health Care Center.

The provider's business location address is:

710 S KENWOOD AVE
MOOSE LAKE, MN
ZIP 55767-405
Phone: (218) 485-4481
Fax: (218) 485-5845

The provider's authorized official is Jason Douglas .
The authorized official title is Chief Executive Officer and has the following contact phone number (218) 485-5858.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 3/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	330829	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	315245600	MEDICAID	MINNESOTA
2	24Z350	MEDICARE OSCAR/CERTIFICATION	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »