ELY-BLOOMENSON COMMUNITY HOSPITAL
NPI 1184573859
Non-Pharmacy Dispensing Site in Ely, MN

Active since January 26, 2026CLIA Certified · 2 labs
328 W CONAN ST, ELY, MN 55731(218) 365-8776(218) 365-8776 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ely-bloomenson Community Hospital NPPES

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

ELY-BLOOMENSON COMMUNITY HOSPITAL (NPI 1184573859) is a healthcare organization registered as a non-pharmacy dispensing site in Ely, Minnesota and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates and lists Patricia J Banks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184573859
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameELY-BLOOMENSON COMMUNITY HOSPITAL
Location Address328 W CONAN STEly, MN 55731-1145
Mailing Address328 W Conan StEly, MN 55731-1145 · (218) 365-8776 · Fax (218) 365-8776
Fax(218) 365-8776
Organization SubpartNo
Authorized OfficialPatricia J BanksCeo · (218) 365-8765
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
NPI 1184573859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
328 W CONAN ST, Ely, MN 55731

CLIA Laboratory Certificates CMS CLIA 2

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 24D0403658

Ely-Bloomenson Community Hospital · Ely, MN
Active · expires Jul 15, 2027
CLIA Number24D0403658
Laboratory TypeHospital
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorChristopher J. Montague
Laboratory Phone(218) 365-8735
Laboratory LocationEly-Bloomenson Community Hospital328 West Conan Street, Ely, MN 55731
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.

Certificate of Waiver 24D2316491

Ely-Bloomenson Community Hospital · Ely, MN
Active · expires Jan 6, 2027
CLIA Number24D2316491
Laboratory TypePharmacy
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorBeth A. Hartshorn
Laboratory Phone(218) 365-8770
Laboratory LocationEly-Bloomenson Community Hospital328 W Conan St Suite A231, Ely, MN 55731
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Durable Medical Equipment & Medical Supplies
328 W CONAN ST
ELY, MN 55731
Nurse Anesthetist, Certified Registered
328 W CONAN ST
ELY, MN 55731
Family Medicine
328 W CONAN ST
ELY, MN 55731
Pharmacist
328 W CONAN ST
ELY, MN 55731
Ambulance (Land Transport)
328 W CONAN ST
ELY, MN 55731
Surgery
328 W CONAN ST
ELY, MN 55731
Nurse Anesthetist, Certified Registered
328 W CONAN ST
ELY, MN 55731
Home Health
328 W CONAN ST
ELY, MN 55731

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 Ely-Bloomenson Community Hospital's NPI number?

The NPI number for Ely-Bloomenson Community Hospital is 1184573859. It was assigned to this organization in the NPPES registry on January 26, 2026.

Where is Ely-Bloomenson Community Hospital located?

Ely-Bloomenson Community Hospital is located at 328 W Conan St, Ely, MN 55731. The listed phone number is (218) 365-8776.

What is Ely-Bloomenson Community Hospital's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Ely-Bloomenson Community Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ely-Bloomenson Community Hospital was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.