MILLE LACS HEALTH SYSTEM NPI 1497917587

NPI Information

  • NPI: 1497917587
  • Provider Name: MILLE LACS HEALTH SYSTEM
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: MILLE LACS FAMILY HEALTH CENTER
  • Address: 375 W ISLE ST
    ISLE, MN
    ZIP 56342
  • Phone: (320) 676-3661

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NPI Details

MILLE LACS HEALTH SYSTEM is a rural health clinic center in Isle, MN. MILLE LACS HEALTH SYSTEM NPI is 1497917587. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mille Lacs Family Health Center.

The provider's business location address is:

375 W ISLE ST
ISLE, MN
ZIP 56342-640
Phone: (320) 676-3661
Fax: (320) 676-4011

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 6/30/2008 and was last updated on 5/13/2013.

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
1111N00000XChiropractorNo
2163WD0400XRegistered NurseDiabetes EducatorNo
3207Q00000XFamily MedicineNo
4363AM0700XPhysician AssistantMedicalNo
5261QR1300XClinic/CenterRural HealthYes

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
1115807OTHERMINNESOTAUCARE MINNESOTA
2566354700MEDICAIDMINNESOTA
333523MIOTHERMINNESOTABLUE CROSS BLUE SHIELD MINNESOTA
4C02121MEDICARE OSCAR/CERTIFICATIONMINNESOTA
5243975MEDICARE OSCAR/CERTIFICATIONMINNESOTA

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: 3/30/2025

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