OrganizationActive
Moose Lake Community Hospital District
NPI 1104902352 · Critical Access Hospital · Moose Lake, MN
Moose Lake Community Hospital District is a Critical Access Hospital organization in Moose Lake, MN (NPI 1104902352).
Provider details
- NPI number
- 1104902352
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Jason Douglas, Chief Executive Officer(218) 485-5858
- License
- 330829 (MN)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 S Kenwood Ave
Moose Lake, MN 55767-9405
Phone: (218) 485-4481
Fax: (218) 485-5845
Street-level locationGet directions
Mailing address
710 S Kenwood Ave
Moose Lake, MN 55767-9405
Other names (DBA / former)
- Doing business as
- Mercy Hospital & Health Care Center
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2016-03-17
Frequently asked questions
- What is Moose Lake Community Hospital District's NPI number?
- Moose Lake Community Hospital District's National Provider Identifier (NPI) is 1104902352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moose Lake Community Hospital District?
- Moose Lake Community Hospital District is classified in the NPPES registry as Critical Access Hospital (Hospitals).
- Where is Moose Lake Community Hospital District located?
- Moose Lake Community Hospital District's practice location on file with NPPES is 710 S Kenwood Ave, Moose Lake, MN 55767-9405.
- What is Moose Lake Community Hospital District's phone number?
- The practice phone number listed in the NPPES registry for Moose Lake Community Hospital District is (218) 485-4481.
- Who is the authorized official for Moose Lake Community Hospital District?
- The authorized official listed on Moose Lake Community Hospital District's NPPES record is Jason Douglas, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moose Lake Community Hospital District's NPI active?
- Yes — Moose Lake Community Hospital District's NPI (1104902352) is active in the NPPES registry as of the last update on 2016-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.