COMMUNITY MEMORIAL HOSPITAL ASSOCIATION – NPI #1710924428
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

COMMUNITY MEMORIAL HOSPITAL ASSOCIATION is a skilled nursing facility (SNF) located in CLOQUET, MN. NPPES has assigned the NPI number 1710924428 to COMMUNITY MEMORIAL HOSPITAL ASSOCIATION on June 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COMMUNITY MEMORIAL HOSPITAL ASSOCIATION is also known by the name SUNNYSIDE HEALTHCARE CENTER. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 19 years ago on Sep 05, 2007. 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
1710924428
Enumeration Date

(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
Other Name: SUNNYSIDE HEALTHCARE CENTER
Primary location
512 SKYLINE BLVD
CLOQUET, MN 55720-3787
Phone: (218) 879-4641 Fax: (218) 879-3237
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD BREUER
CEO/ADMINISTRATOR
Phone: (218) 878-7621
Updated
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
314000000X
- Skilled Nursing Facility (Primary)
MN MN331132

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.