Organization
PINE MEDICAL CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Sandstone
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
705 LUNDORFF DRIVE SOUTH, SANDSTONE, MN 55072
(320) 245-2212
(320) 245-3251
Mailing address
705 LUNDORFF DRIVE SOUTH, SANDSTONE, MN 55072
(320) 245-2212
(320) 245-3251
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
361349
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205043841
—
MN
Enumeration date
05/16/2007
Last updated
02/27/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up