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 | 282NC0060X | General Acute Care Hospital | Critical Access | 361349 | 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 | 1326041633 | MEDICAID | MINNESOTA | |
| 2 | 22454NO | OTHER | MINNESOTA | BCBS OF MINNESOTA ER |
| 3 | 3945005 | OTHER | MINNESOTA | MEDICA ER |
| 4 | 36F55PI | OTHER | MINNESOTA | BCBS OF MINNESOTA UC |
| 5 | 58444 | OTHER | MINNESOTA | HEALTH PARTNERS |
| 6 | 01006123 | OTHER | MINNESOTA | PREFERRED ONE ER |
| 7 | 1033994 | OTHER | MINNESOTA | PREFERRED ONE UC |
| 8 | 1326041633 | MEDICAID | WISCONSIN | |
| 9 | 6604104 | OTHER | MINNESOTA | MEDICA URGENT CARE |
| 10 | H109 | OTHER | MINNESOTA | UCARE ER |
| 11 | 5013818 | OTHER | MINNESOTA | MEDICA UB |
| 12 | F793 | OTHER | MINNESOTA | UCARE UC |
| 13 | 300142 | OTHER | MINNESOTA | UCARE AMBULANCE |
| 14 | 3B24HPI | OTHER | MINNESOTA | BCBS OF MINNESOTA UB |
