KANABEC-PINE COMMUNITY HEALTH NPI 1619374428

NPI Information

NPI: 1619374428
Provider Name: KANABEC-PINE COMMUNITY HEALTH
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
905 FOREST AVE E
SUITE 127
MORA, MN
ZIP 55051
Phone: (320) 679-6330
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KANABEC-PINE COMMUNITY HEALTH is a public health or welfare in Mora, MN. KANABEC-PINE COMMUNITY HEALTH NPI is 1619374428. The provider is registered as an organization entity type.

The provider's business location address is:

905 FOREST AVE E
SUITE 127
MORA, MN
ZIP 55051-624
Phone: (320) 679-6330
Fax: (320) 679-6333

The provider's authorized official is Wendy L. Thompson .
The authorized official title is Chs Administrator and has the following contact phone number (320) 679-6322.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.

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	251K00000X	Public Health or Welfare		331159	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	471555100	MEDICAID	MINNESOTA
2	247126	MEDICARE UPIN	MINNESOTA

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

NPI Synchronization or Removal

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