MILLE LACS HEALTH SYSTEM NPI 1124282272

NPI Information

NPI: 1124282272
Provider Name: MILLE LACS HEALTH SYSTEM

Doing Business As: MILLE LACS HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
200 ELM ST N
ONAMIA, MN
ZIP 56359
Phone: (888) 532-4127
Get Directions

MILLE LACS HEALTH SYSTEM is a hospice care community based in Onamia, MN. MILLE LACS HEALTH SYSTEM NPI is 1124282272. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mille Lacs Hospice.

The provider's business location address is:

200 ELM ST N
ONAMIA, MN
ZIP 56359-901
Phone: (888) 532-4127
Fax: (320) 532-4325

The provider's authorized official is John W Unzen .
The authorized official title is Cfo and has the following contact phone number (320) 532-2581.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 3/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	163W00000X	Registered Nurse				No
3	164W00000X	Licensed Practical Nurse				No
4	225100000X	Physical Therapist				No
5	225X00000X	Occupational Therapist				No
6	374U00000X	Home Health Aide				No
7	376J00000X	Homemaker				No
8	2355S0801X	Specialist/Technologist	Speech-Language Assistant			No
9	251G00000X	Hospice Care, Community Based		337604	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	241588	MEDICARE OSCAR/CERTIFICATION	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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