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PERHAM HEALTH HOSPITAL PHARMACY
NPI 1154467678
Pharmacy - Institutional Pharmacy in Perham, MN

Active since January 30, 2007CLIA 24D0041377 · Accreditation
1000 CONEY ST W, PERHAM, MN 56573(218) 347-1580(218) 347-1652 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Perham Health Hospital Pharmacy NPPES

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

PERHAM HEALTH HOSPITAL PHARMACY (NPI 1154467678) is a healthcare organization registered as an institutional pharmacy in Perham, Minnesota and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Duane Wallace, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1154467678
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NamePERHAM HOSPITAL DISTRICT
Location Address1000 CONEY ST WPerham, MN 56573-2102
Mailing Address1000 Coney St WPerham, MN 56573-2102 · (218) 347-1580 · Fax (218) 347-1652
Phone(218) 347-1580
Fax(218) 347-1652
Organization SubpartNo
Authorized OfficialDuane WallaceDirector Of Pharmacy · (218) 347-1571
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 30, 2014
✔ NPI 1154467678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in MN · 200303
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1000 CONEY ST W, Perham, MN 56573
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Other Names 1

Doing Business AsPerham Health Hospital Pharmacy

Other Identifiers 2

Other2045652Pk
Medicaid211047400MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.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 Accreditation 24D0041377

Perham Health · Perham, MN
Active · expires Jan 2, 2027
CLIA Number24D0041377
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorJerry J. Baldwin
Laboratory Phone(218) 346-4500
Laboratory LocationPerham Health1000 Coney Street West, Perham, MN 56573
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

KIMBERLY PETERSEN
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1200
ROBERT STEININGER M.D.
Surgery
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1200
CHRISTOPHER PELUSO PA-C
Physician Assistant
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1200
AMY RENEE WHITE JONES MD
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1200
KAILEY WITT MD
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1200
DR. SHELBY RAE BUCHOLZ MD
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1200
MATTHEW DAVID HAUGEN MD
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1299
KELSEY WISKOW
Physical Therapist
1000 CONEY ST W
PERHAM, MN 56573
Otter Tail County (218) 347-1598

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 Perham Hospital District's NPI number?

The NPI number for Perham Hospital District is 1154467678. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Perham Health Hospital Pharmacy.

Where is Perham Hospital District located?

Perham Hospital District is located at 1000 Coney St W, Perham, MN 56573. The listed phone number is (218) 347-1580.

What is Perham Hospital District's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Perham Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0041377) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Perham Hospital District accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 23 other insurers list Perham Hospital District 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 Perham Hospital District was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.