ELY-BLOOMENSON COMMUNITY HOSPITAL
NPI 1770542904
General Acute Care Hospital - Critical Access in Ely, MN
NPI Status: Active since March 17, 2006
Contact Information
328 W CONAN ST
ELY, MN
ZIP 55731
Phone: (218) 365-3271
Fax: (218) 365-8777
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- General Acute Care Hospital
- Critical Access
- CLIA Number: 24D0403658
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-15-2025
About ELY-BLOOMENSON COMMUNITY HOSPITAL
This page provides the complete NPI Profile along with additional information for Ely-bloomenson Community Hospital, a provider established in Ely, Minnesota operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1770542904 assigned on March 2006. The practitioner's primary taxonomy code is 282NC0060X with license number 327664 (MN). The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Ms. Patricia Banks (Ceo)
- NPI
- 1770542904
- Provider Name
- ELY-BLOOMENSON COMMUNITY HOSPITAL
- Entity Type
- Organization
- Location Address
- 328 W CONAN ST ELY, MN 55731
- Location Phone
- (218) 365-3271
- Location Fax
- (218) 365-8777
- Mailing Address
- 328 W CONAN ST ELY, MN 55731
- Mailing Phone
- (218) 365-3271
- Mailing Fax
- (218) 365-8777
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-17-2006
- Last Update Date
- 06-18-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- 327664
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122747500 | MEDICAID (05) | MN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0403658
- Facility Type
- Hospital
- Certificate Effective Date
- July 16, 2023
- Certificate Expiration Date
- July 15, 2025
- Laboratory Director
- MARIA K. BEAVER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ely-bloomenson Community Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for ELY-BLOOMENSON COMMUNITY HOSPITAL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 5 | 4 | 2 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 10 | 4 | 4 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 0 + 4 + 4 + 9 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1770542904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487698296 | MS. RUTH ANN LOGAR CRNA Individual | Nurse Anesthetist, Certified Registered | 328 W CONAN ST ELY, MN 55731 (218) 365-3271 |
| 1447417217 | ELY AREA AMBULANCE SERVICE Organization | Ambulance (Land Transport) | 328 W CONAN ST ELY, MN 55731 (218) 365-3271 |
| 1295785574 | SAM P RICE MD Individual | Family Medicine | 328 W CONAN ST ELY, MN 55731 (651) 232-7348 |
| 1366807810 | DR. BETH WILMUNEN PHARMD Individual | Pharmacist | 328 W CONAN ST ELY, MN 55731 (218) 365-8750 |
| 1295715373 | COLLEEN KLOEHN CRNA Individual | Nurse Anesthetist, Certified Registered | 328 W CONAN ST ELY, MN 55731 (218) 365-3271 |
| 1659455897 | ELY-BLOOMENSON COMMUNITY HOSPITAL Organization | Home Health | 328 W CONAN ST ELY, MN 55731 (218) 365-3271 |
| 1477591394 | DR. ROBERT L SAVEREIDE Individual | Surgery | 328 W CONAN ST ELY, MN 55731 (218) 365-3271 |
| 1235215385 | ELY BLOOMENSON COMMUNITY HOSPITAL AND NURSING HOME Organization | Durable Medical Equipment & Medical Supplies | 328 W CONAN ST ELY, MN 55731 (218) 365-8761 |
| 1972539658 | ELY-BLOOMENSON COMMUNITY HOSPITAL Organization | Pharmacy (Community/Retail Pharmacy) | 328 W CONAN ST ELY, MN 55731 (218) 365-8788 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770542904, enumerated in the NPI registry as an "organization" on March 17, 2006
The provider is located at 328 W Conan St Ely, Mn 55731 and the phone number is (218) 365-3271
This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC0060X with a focus in Critical Access
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D0403658 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on March 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.