GOLDPINE HOME
NPI 1245576073
Assisted Living Facility in Bemidji, MN

Q: What is Gph Beltrami Inc's NPI number?

The NPI number for Gph Beltrami Inc is 1245576073. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Goldpine Home.

Q: What is Gph Beltrami Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Gph Beltrami Inc was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 26, 2012CLIA 24D1040567 · Waiver

1700 30TH ST NW, BEMIDJI, MN 56601(218) 444-4346(218) 444-4083 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Goldpine Home NPPES

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

GOLDPINE HOME (NPI 1245576073) is a healthcare organization registered as an assisted living facility in Bemidji, Minnesota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Dustin R Holloway, President/owner, as its authorized official.

NPPES Registry Identity

NPI1245576073

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGPH BELTRAMI INC

Location Address1700 30TH ST NWBemidji, MN 56601-5608

Mailing Address1700 30th St NwBemidji, MN 56601-5608 · (218) 444-4346 · Fax (218) 444-4083

Phone(218) 444-4346

Fax(218) 444-4083

Organization SubpartNo

Authorized OfficialDustin R HollowayPresident/owner · (218) 444-4346

Enumeration DateDecember 26, 2012

✔ NPI 1245576073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1700 30TH ST NW, Bemidji, MN 56601

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Other Names 1

Doing Business AsGoldpine Home

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 Waiver 24D1040567

Goldpine Home · Bemidji, MN

Active · expires May 10, 2027

CLIA Number24D1040567

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 11, 2025

Certificate Expiration DateMay 10, 2027

Laboratory DirectorClarissa M. Dowhower

Laboratory Phone(218) 444-4346

Laboratory LocationGoldpine Home1700 30th St NW, Bemidji, MN 56601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GPH BEMIDJI, INC

Assisted Living Facility

1700 30TH ST NW
BEMIDJI, MN 56601

Beltrami County (218) 444-4346

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 Gph Beltrami Inc's NPI number?

The NPI number for Gph Beltrami Inc is 1245576073. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Goldpine Home.

Where is Gph Beltrami Inc located?

Gph Beltrami Inc is located at 1700 30th St NW, Bemidji, MN 56601. The listed phone number is (218) 444-4346.

What is Gph Beltrami Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Gph Beltrami Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1040567) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gph Beltrami Inc was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.