COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
NPI 1003869082
General Acute Care Hospital - Critical Access in Cloquet, MN

Active since May 18, 2006CLIA 24D0403629 · Certificate of Compliance
512 SKYLINE BLVD, CLOQUET, MN 55720(218) 879-4641(218) 879-4641 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2020, Sep 30, 2020 (2 updates tracked since 2020).

About Community Memorial Hospital Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEMORIAL HOSPITAL ASSOCIATION (NPI 1003869082) is a healthcare organization registered as a critical access in Cloquet, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 2, 2027 and lists Richard L Breuer, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1003869082
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL ASSOCIATION
Location Address512 SKYLINE BLVDCloquet, MN 55720-3787
Mailing Address512 Skyline BlvdCloquet, MN 55720-3787 · (218) 879-4641 · Fax (218) 879-4641
Fax(218) 879-4641
Organization SubpartNo
Authorized OfficialRichard L BreuerCeo/administrator · (218) 878-7621
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1003869082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License✔ Licensed in MN · 331457
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
512 SKYLINE BLVD, Cloquet, MN 55720

Other Identifiers 1

Medicaid695045100MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Memorial Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

142

Medicare enrollment records show 142 clinicians reassign Medicare billing to Community Memorial Hospital Association, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Diagnostic Radiology56
Family Practice29
Certified Registered Nurse Anesthetist (CRNA)24
Nurse Practitioner6
Emergency Medicine5
Orthopedic Surgery3
Gastroenterology2
General Surgery2
12 other specialties15

Nearest to this location (20)

See all 142
Family Practice
NPI 1124249743
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1972685394
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1760433437
512 SKYLINE BLVD COMMUNITY MEMORIAL HOSPITAL
Cloquet, MN 55720
(218) 879-4641
Same address
General Surgery
NPI 1730447251
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922084284
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770042087
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740343383
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558358507
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1477996775
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOSSame address
Nurse Practitioner
NPI 1689226185
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1316017924
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 878-7660
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386627172
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932416435
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396337796
512 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1316970536
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730694548
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073174538
512 SKYLINE BLVD STE 1
Cloquet, MN 55720
(218) 879-4641
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629604087
417 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-1271
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164296976
417 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-1271
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629598560
417 SKYLINE BLVD
Cloquet, MN 55720
(218) 879-1271
✔ PECOS✔ Accepts MedicareSame address
See all 142 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0403629

Community Memorial Hospital · Cloquet, MN
Active · expires Mar 2, 2027
CLIA Number24D0403629
Laboratory TypeHospital
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorAllen B. Mendez
Laboratory Phone(218) 878-7017
Laboratory LocationCommunity Memorial Hospital512 Skyline Blvd, Cloquet, MN 55720
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Memorial Hospital Association's NPI number?

The NPI number for Community Memorial Hospital Association is 1003869082. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Community Memorial Hospital Association located?

Community Memorial Hospital Association is located at 512 Skyline Blvd, Cloquet, MN 55720. The listed phone number is (218) 879-4641.

What is Community Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Community Memorial Hospital Association enrolled in Medicare?

Yes. Community Memorial Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Memorial Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 20 Medicare specialties reassign their Medicare billing to Community Memorial Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (56), Family Practice (29) and Certified Registered Nurse Anesthetist (CRNA) (24). Of these, 18 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0403629) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Memorial Hospital Association accept?

Health plans from Aspirus Health Plan and Security Health Plan list Community Memorial Hospital Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Memorial Hospital Association was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.