CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE – NPI #1275057978
Clinic/Center

CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE is an AHC clinic located in MONTEVIDEO, MN. NPPES has assigned the NPI number 1275057978 to CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE on August 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE” is a dba name, the actual legal business name for this organization is CCM HEALTH. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Sep 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE below.

NPI Profile for
CCM HEALTH

NPI Number
1275057978
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCM HEALTH
Doing Business As (dba): CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE
Other name(s)
All associated names:
Former Legal Business Name
Chippewa County Montevideo Hospital
Doing Business As (dba)
CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE
Primary location
824 N 11TH ST
MONTEVIDEO, MN 56265-1629
Phone: (320) 269-8877 Fax: (320) 269-8186
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DESERAE ANSPACH
CFO
Phone: (320) 269-8877
Updated
Certification Date
Dec 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.