DEER RIVER HEALTHCARE CENTER INC. NPI 1851516389

NPI Information

NPI: 1851516389
Provider Name: DEER RIVER HEALTHCARE CENTER INC.

Former Legal Business Name: COMMUNITY MEMORIAL HOSPITAL OF DEER RIVER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
115 10TH AVENUE NE
DEER RIVER, MN
ZIP 56636
Phone: (218) 246-2900
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DEER RIVER HEALTHCARE CENTER INC. is a durable medical equipment medical supplies in Deer River, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DEER RIVER HEALTHCARE CENTER INC. NPI is 1851516389. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Memorial Hospital Of Deer River.

The provider's business location address is:

115 10TH AVENUE NE
DEER RIVER, MN
ZIP 56636-700
Phone: (218) 246-2900
Fax: (218) 246-3013

The provider's authorized official is Brenda K Moos .
The authorized official title is Revenue Cycle Director and has the following contact phone number (218) 246-3047.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 1/24/2012.

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	332B00000X	Durable Medical Equipment & Medical Supplies				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	5025365	OTHER	MINNESOTA	MEDICA
2	5111780001	MEDICARE NSC	MINNESOTA
3	1604HCO	OTHER	MINNESOTA	BLUE CROSS
4	300367	OTHER	MINNESOTA	UCARE
5	24-1360	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
6	618245300	MEDICAID	MINNESOTA
7	1021626	OTHER	MINNESOTA	PREFERRED ONE

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

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