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COTEAU DES PRAIRIES HOSPITAL NPI 1417227422


NPI Information

NPI: 1417227422
Provider Name: COTEAU DES PRAIRIES HOSPITAL

Doing Business As: COTEAU DES PRAIRIES HEALTH CARE SYSTEM - HERMAN CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 24D2222032

Address:
204 FIFTH STREET EAST
HERMAN, MN
ZIP 56248
Phone: (320) 677-2220
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COTEAU DES PRAIRIES HOSPITAL is a general practice in Herman, MN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COTEAU DES PRAIRIES HOSPITAL NPI is 1417227422. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coteau Des Prairies Health Care System - Herman Clinic.

The provider's business location address is:

204 FIFTH STREET EAST
HERMAN, MN
ZIP 56248-000
Phone: (320) 677-2220

The provider's authorized official is Michael F. Coyle .
The authorized official title is Ceo and has the following contact phone number (605) 698-7647.

The CLIA number assigned to this NPI record is 24D2222032 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/2/2015.


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
1208D00000XGeneral Practice60020SOUTH DAKOTAYes

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
1C07780MEDICARE OSCAR/CERTIFICATIONMINNESOTA
25160MEDICAIDNORTH DAKOTA

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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