Essentia Health Northern Pines Medical

LBN: Northern Pines Medical Center
Essentia Health Northern Pines Medical is an health care organization with primary practice located at 5211 Highway 110 , Aurora MN 55705-1522. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Northern Pines Medical Center can be contacted via phone (218) 229-4210, or through Tomsche, James via phone (218) 786-4346.

Contact Information

Primary practice address
5211 Highway 110 Aurora MN 55705-1522
Phone: (218) 229-4210
Fax: (218) 229-4261
Website:
Map and Directions
Authorized official contact:
Name: Tomsche, James RPH
Phone: (218) 786-4346

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X 200749 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1053694885
LBN Legal business name Northern Pines Medical Center
DBA Doing business as Essentia Health Northern Pines Medical
Authorized official Tomsche, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2011
Last updated Apr 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053694885 NPPES
Minnesota MEDICAID 173347800
Minnesota Other 2045668

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