ESSENTIA HEALTH MOOSE LAKE NPI 1154959880

NPI Information

ESSENTIA HEALTH MOOSE LAKE is a critical access general acute care hospital in Moose Lake, MN. The provider is definition to come. ESSENTIA HEALTH MOOSE LAKE NPI is 1154959880. The provider is registered as an organization entity type.

The provider's business location address is:

4572 COUNTY ROAD 61
MOOSE LAKE, MN
ZIP 55767-401
Phone: (218) 485-4481

The provider's authorized official is Bradley Beard .
The authorized official title is Chief Operating Officer and has the following contact phone number (218) 786-2652.

The CLIA number assigned to this NPI record is 24D0651464 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/30/2020 and was last updated on 3/30/2020.

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:

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