CCM HEALTH – NPI #1720086028
General Acute Care Hospital

CCM HEALTH is a general acute care hospital located in MONTEVIDEO, MN. NPPES has assigned the NPI number 1720086028 to CCM HEALTH on July 11, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CHIPPEWA COUNTY MONTEVIDEO HOSPITAL. 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 3 years ago on Jan 19, 2023. 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 CCM HEALTH below.

NPI Profile for
CCM HEALTH

NPI Number
1720086028
Enumeration Date

(about 21 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
Former Legal Business Name: CHIPPEWA COUNTY MONTEVIDEO HOSPITAL
Primary location
824 N 11TH ST
MONTEVIDEO, MN 56265
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
Jan 19, 2023

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 CCM HEALTH

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.

DescriptionIssuerStateIdentifier
medicaidMN855345900
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 327693
261Q00000X
- Clinic/Center		 MN

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.