COMMUNITY MEMORIAL HOSPITAL ASSOCIATION – NPI #1003869082
General Acute Care Hospital

NPI Profile
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COMMUNITY MEMORIAL HOSPITAL ASSOCIATION is a general acute care hospital located in CLOQUET, MN. NPPES has assigned the NPI number 1003869082 to COMMUNITY MEMORIAL HOSPITAL ASSOCIATION on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 5 years ago on Dec 29, 2020. 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 COMMUNITY MEMORIAL HOSPITAL ASSOCIATION below.

NPI Profile for
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION

NPI Number

1003869082

Enumeration Date

May 18, 2006
(more than 20 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

COMMUNITY MEMORIAL HOSPITAL ASSOCIATION

Primary location

512 SKYLINE BLVD
CLOQUET, MN 55720-3787

Phone: (218) 879-4641 Fax: (218) 879-4641

Mailing address

Same as primary location

Organization Subpart

Authorized Official

RICHARD BREUER
CEO/ADMINISTRATOR
Phone: (218) 878-7621

Updated

Dec 29, 2020

Certification Date

Dec 29, 2020

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.

Identifiers

Identifiers for COMMUNITY MEMORIAL HOSPITAL ASSOCIATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

Description	Issuer	State	Identifier
MEDICAID		MN	695045100

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
282NC0060X - General Acute Care Hospital / Critical Access (Primary)	MN	331457
261QU0200X - Clinic/Center / Urgent Care

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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