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ASTERA HEALTH NPI 1134305162


NPI Information

NPI: 1134305162
Provider Name: ASTERA HEALTH

Doing Business As: ASTERA HEALTH WADENA CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
421 11TH ST NW
WADENA, MN
ZIP 56482
Phone: (218) 631-3510
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ASTERA HEALTH is a rural health clinic center in Wadena, MN. ASTERA HEALTH NPI is 1134305162. The provider is registered as an organization entity type.
The provider Is Doing Business As Astera Health Wadena Clinic.

The provider's business location address is:

421 11TH ST NW
WADENA, MN
ZIP 56482-044
Phone: (218) 631-3510

The provider's authorized official is Joel Beiswenger .
The authorized official title is Cfo and has the following contact phone number (218) 631-1360.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 2/3/2023.


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
1261QM1300XClinic/CenterMulti-Specialty334714MINNESOTANo
2261QR1300XClinic/CenterRural Health334714MINNESOTAYes

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
1754347600MEDICAIDMINNESOTA

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

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