DIVINE PROVIDENCE MEDICAL CLINIC is a critical access hospital clinic center in Ivanhoe, MN. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. DIVINE PROVIDENCE MEDICAL CLINIC NPI is 1972660488. The provider is registered as an organization entity type.
The provider's business location address is:
312 E GEORGE ST
IVANHOE, MN
ZIP 56142-707
Phone: (507) 694-1414
The provider's authorized official is Gregory Wilson .
The authorized official title is Ceo and has the following contact phone number (507) 694-1414.
The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/22/2020.