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MERCY HOSPITAL & HEALTH CARE CENTER
NPI 1104902352
General Acute Care Hospital - Critical Access in Moose Lake, MN

Active since October 31, 2006
710 S KENWOOD AVE, MOOSE LAKE, MN 55767(218) 485-4481(218) 485-5845 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Hospital & Health Care Center NPPES

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

MERCY HOSPITAL & HEALTH CARE CENTER (NPI 1104902352) is a healthcare organization registered as a critical access in Moose Lake, Minnesota and active in the NPI registry since October 2006. The organization lists Jason Douglas, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104902352
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMOOSE LAKE COMMUNITY HOSPITAL DISTRICT
Location Address710 S KENWOOD AVEMoose Lake, MN 55767-9405
Mailing Address710 S Kenwood AveMoose Lake, MN 55767-9405 · (218) 485-4481 · Fax (218) 485-5845
Phone(218) 485-4481
Fax(218) 485-5845
Organization SubpartNo
Authorized OfficialJason DouglasChief Executive Officer · (218) 485-5858
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 17, 2016
✔ NPI 1104902352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in MN · 330829
710 S KENWOOD AVE, Moose Lake, MN 55767
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Other Names 1

Doing Business AsMercy Hospital & Health Care Center

Other Identifiers 2

Medicaid315245600MN
Medicare OSCAR/certification24Z350MN

Other Providers at the Same Location NPPES 11

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

MOOSE LAKE COMMUNITY HOSPITAL DISTRICT
Skilled Nursing Facility
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
LORI ANN ZIEHL OTR
Occupational Therapist
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-5522
RONALD WILLIAM NEVA PT
Physical Therapist
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-5516
AUGUSTANA MERCY CARE CENTER LLC
Assisted Living Facility
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
DR. ARUN J SHANKAR M.D.
Emergency Medicine
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-5541
MRS. LUANN JOYCE CHARBONEAU PT
Physical Therapist
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-5627
AUGUSTANA MERCY CARE CENTER LLC
Skilled Nursing Facility
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
JEFFREY ALLEN SCHNEIDER CRNA
Nurse Anesthetist, Certified Registered
710 S KENWOOD AVE
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481

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 Moose Lake Community Hospital District's NPI number?

The NPI number for Moose Lake Community Hospital District is 1104902352. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Mercy Hospital & Health Care Center.

Where is Moose Lake Community Hospital District located?

Moose Lake Community Hospital District is located at 710 S Kenwood Ave, Moose Lake, MN 55767. The listed phone number is (218) 485-4481.

What is Moose Lake Community Hospital District's specialty?

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

When was this NPI record last updated?

The NPPES record for Moose Lake Community Hospital District was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.