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RIVER'S EDGE
NPI 1336300326
Assisted Living Facility in Hallock, MN

Active since June 23, 2008CLIA 24D2295110 · Waiver
1010 S BIRCH AVE, HALLOCK, MN 56728(218) 843-3662(218) 843-2487 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About River's Edge NPPES

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

RIVER'S EDGE (NPI 1336300326) is a healthcare organization registered as an assisted living facility in Hallock, Minnesota and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Jeni Schwenzfeier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336300326
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKITTSON MEMORIAL HOSPITAL ASSOCIATION
Location Address1010 S BIRCH AVEHallock, MN 56728
Mailing Address513 10th Street SeHallock, MN 56728 · (218) 843-8812 · Fax (218) 843-2487
Phone(218) 843-3662
Fax(218) 843-2487
Organization SubpartYes
Authorized OfficialJeni SchwenzfeierCfo · (218) 843-3802
Enumeration DateJune 23, 2008
Last NPPES UpdateFebruary 12, 2020
✔ NPI 1336300326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 337988
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.
1010 S BIRCH AVE, Hallock, MN 56728
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Other Names 1

Doing Business AsRiver's Edge

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 24D2295110

Kittson Memorial Hosp Association Dba River's Edge · Hallock, MN
Active · expires Dec 4, 2027
CLIA Number24D2295110
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorJodee A. Sugden
Laboratory Phone(218) 843-3662
Laboratory LocationKittson Memorial Hosp Association Dba River's Edge513 10th St SE, Hallock, MN 56728
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 14

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

KITTSON MEMORIAL HOSPITAL ASSOCIATION
Skilled Nursing Facility
1010 S BIRCH AVE
HALLOCK, MN 56728
Kittson County (218) 843-3612
DR. JAMES E SURDY M.D.
Specialist
1010 S BIRCH AVE
HALLOCK, MN 56728
Kittson County (218) 843-2165
KITTSON MEMORIAL HOSPITAL ASSOCIATION
Medicare Defined Swing Bed Unit
1010 S BIRCH AVE, POST OFFICE BOX 700
HALLOCK, MN 56728
Kittson County (218) 843-3612
JULIE A. J. JOHNSON FNP
Nurse Practitioner (Acute Care)
1010 S BIRCH AVE, BOX 700
HALLOCK, MN 56728
Kittson County (218) 843-3612
ROLAND ROY LARTER M.D.
Family Medicine
1010 S BIRCH AVE
HALLOCK, MN 56728
Kittson County (218) 843-2868
JALYN ROBINSON PT
Physical Therapist
1010 S BIRCH AVE
HALLOCK, MN 56728
Kittson County (218) 843-3612
NORMAN MARTIN WOLK M.D.
General Practice
1010 S BIRCH AVE
HALLOCK, MN 56728
Kittson County (218) 843-3612
KAREN JEAN WARNER PA
Physician Assistant
1010 S BIRCH AVE
HALLOCK, MN 56728
Kittson County (218) 843-2165

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 Kittson Memorial Hospital Association's NPI number?

The NPI number for Kittson Memorial Hospital Association is 1336300326. It was assigned to this organization in the NPPES registry on June 23, 2008. The provider is doing business as River's Edge.

Where is Kittson Memorial Hospital Association located?

Kittson Memorial Hospital Association is located at 1010 S Birch Ave, Hallock, MN 56728. The listed phone number is (218) 843-3662.

What is Kittson Memorial Hospital Association's specialty?

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

Does Kittson Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2295110) is associated with this NPI, valid through December 4, 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 Kittson Memorial Hospital Association was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.