MAHNOMEN HEALTH CENTER
NPI 1710912787
Skilled Nursing Facility in Mahnomen, MN

Active since July 11, 2006CLIA Certified · 2 labs
414 W JEFFERSON AVE, MAHNOMEN, MN 56557(218) 935-2511(218) 935-2370 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mahnomen Health Center NPPES

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

MAHNOMEN HEALTH CENTER (NPI 1710912787) is a healthcare organization registered as a skilled nursing facility in Mahnomen, Minnesota and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Lori Guenther, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710912787
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAHNOMEN HEALTH CENTER
Location Address414 W JEFFERSON AVEMahnomen, MN 56557-4912
Mailing Address414 W Jefferson AveMahnomen, MN 56557-4912 · (218) 935-2511 · Fax (218) 935-2370
Fax(218) 935-2370
Organization SubpartNo
Authorized OfficialLori GuentherCfo · (218) 935-9401
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
NPI 1710912787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 372204
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

414 W JEFFERSON AVE, Mahnomen, MN 56557

Other Identifiers 3

Other0C16NMAMN · Bcbs
Other7100426MN · Medica
Medicaid739745302MN

Accepted Insurance

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 Waiver 24D2189629

Mahnomen Health Center - Nursing Home · Mahnomen, MN
Active · expires Aug 3, 2026
CLIA Number24D2189629
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorHong Qi Peng
Laboratory Phone(218) 935-2511
Laboratory LocationMahnomen Health Center - Nursing Home414 West Jefferson Avenue, Mahnomen, MN 56557
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 24D0406402

Mahnomen Health Center · Mahnomen, MN
Active · expires Jan 22, 2028
CLIA Number24D0406402
Laboratory TypeHospital
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorAdelina Tina T. Luong-Player
Laboratory Phone(218) 935-9417
Laboratory LocationMahnomen Health Center414 W Jefferson Ave, Mahnomen, MN 56557
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.

Other Providers at the Same Location NPPES 9

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

Speech-Language Pathologist
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
Occupational Therapist
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
Physical Therapist
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
Occupational Therapist
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
Physical Therapist
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
Physical Therapist
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
Nurse Practitioner (Family)
414 W JEFFERSON AVE
MAHNOMEN, MN 56557
General Acute Care Hospital (Rural)
414 W JEFFERSON AVE
MAHNOMEN, MN 56557

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 Mahnomen Health Center's NPI number?

The NPI number for Mahnomen Health Center is 1710912787. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Mahnomen Health Center located?

Mahnomen Health Center is located at 414 W Jefferson Ave, Mahnomen, MN 56557. The listed phone number is (218) 935-2511.

What is Mahnomen Health Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Mahnomen Health Center 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.

What insurance does Mahnomen Health Center accept?

Health plans from Sanford Health Plan list Mahnomen Health Center 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 Mahnomen Health Center was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.