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

Q: 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.

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: August 09, 2026.

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

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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

Phone(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

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

License✔ Licensed in MN · 331457

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

512 SKYLINE BLVD, Cloquet, MN 55720

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Other Identifiers 1

Medicaid695045100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security Health Plan.Insurance ›

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANCE E MODIN M.D.

Surgery