CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE
NPI 1275057978
Clinic/Center - Urgent Care in Montevideo, MN

Active since August 03, 2017CLIA Certified · 3 labs
824 N 11TH ST, MONTEVIDEO, MN 56265(320) 269-8877(320) 269-8186 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2022, Jul 21, 2022, Jul 26, 2019 and 2 more (5 updates tracked since 2017).

About Chippewa County Montevideo Hospital Urgent Care NPPES

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

CHIPPEWA COUNTY MONTEVIDEO HOSPITAL URGENT CARE (NPI 1275057978) is a healthcare organization registered as an urgent care in Montevideo, Minnesota and active in the NPI registry since August 2017. The organization holds 3 active CLIA laboratory certificates and lists Deserae Anspach, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275057978
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCCM HEALTH
Location Address824 N 11TH STMontevideo, MN 56265-1629
Mailing Address824 N 11th StMontevideo, MN 56265-1629 · (320) 269-8877 · Fax (320) 269-8186
Fax(320) 269-8186
Organization SubpartNo
Authorized OfficialDeserae AnspachCfo · (320) 269-8877
Enumeration DateAugust 3, 2017
Last NPPES UpdateSeptember 28, 20225 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1275057978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
824 N 11TH ST, Montevideo, MN 56265

Other Names 2

Doing Business AsChippewa County Montevideo Hospital Urgent Care
Former Legal Business NameChippewa County Montevideo Hospital

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chippewa County Montevideo Hospital Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

146

Medicare enrollment records show 146 clinicians reassign Medicare billing to Chippewa County Montevideo Hospital Urgent Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Emergency Medicine37
Family Practice33
Internal Medicine21
Nurse Practitioner16
Hospitalist10
Clinical Social Worker4
General Surgery3
Obstetrics/Gynecology3
13 other specialties19

Nearest to this location (20)

See all 146
Family Practice
NPI 1407410228
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOSSame address
Clinical Social Worker
NPI 1831761675
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1942759576
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOSSame address
Family Practice
NPI 1992334577
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1912970179
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1457903551
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Orthopedic Surgery
NPI 1568573541
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
General Surgery
NPI 1255338067
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1386804532
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1750034450
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Family Practice
NPI 1467433201
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1619523131
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Family Practice
NPI 1417959768
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1396497764
824 NORTH 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Family Practice
NPI 1225483563
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Family Practice
NPI 1306469721
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
General Surgery
NPI 1598152829
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Certified Nurse Midwife (CNM)
NPI 1235137522
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Otolaryngology
NPI 1487631271
824 N 11TH ST CREDENTIALING
Montevideo, MN 56265
(320) 269-8877
✔ PECOS1.2 mi
Registered Dietitian or Nutrition Professional
NPI 1548464365
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
1.2 mi
See all 146 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 24D0717054

Ccm Health · Montevideo, MN
Active · expires Aug 31, 2028
CLIA Number24D0717054
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorTammy Bentley
Laboratory Phone(320) 321-8176
Laboratory LocationCcm Health824 N 11th St, Montevideo, MN 56265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2291644

Ccm Health - Montevideo · Montevideo, MN
Active · expires Oct 12, 2027
CLIA Number24D2291644
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorTammy M. Bentley
Laboratory Phone(320) 321-8260
Laboratory LocationCcm Health - Montevideo824 North 11th Street, Montevideo, MN 56265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 24D0405562

Ccm Health · Montevideo, MN
Active · expires Jun 17, 2027
CLIA Number24D0405562
Laboratory TypeHospital
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorSteven M. Vanderwerf
Laboratory Phone(320) 321-8260
Laboratory LocationCcm Health824 North 11th St, Montevideo, MN 56265
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.

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 Ccm Health's NPI number?

The NPI number for Ccm Health is 1275057978. It was assigned to this organization in the NPPES registry on August 3, 2017. The provider is doing business as Chippewa County Montevideo Hospital Urgent Care. The provider was formerly known as Chippewa County Montevideo Hospital.

Where is Ccm Health located?

Ccm Health is located at 824 N 11th St, Montevideo, MN 56265. The listed phone number is (320) 269-8877.

What is Ccm Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Ccm Health enrolled in Medicare?

Yes. Ccm Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ccm Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 146 clinicians in 21 Medicare specialties reassign their Medicare billing to Ccm Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (37), Family Practice (33) and Internal Medicine (21). Of these, 4 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ccm Health hold CLIA laboratory certificates?

Yes. 3 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 Ccm Health was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.