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Contact Information

MILLE LACS HEALTH SYSTEM
200 ELM ST N
ONAMIA, MN56359-7901
 Phone: 320-888-4127
 Fax: 320-532-4325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
 

Licensed Practical Nurse

164W00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Registered Nurse

163W00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MILLE LACS HEALTH SYSTEM

NPI Number 1578726311
LBN Legal business name MILLE LACS HEALTH SYSTEM
Authorized official JOHN UNZEN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/02/2008
Last updated 03/21/2016 - About 10 years ago
Identifiers
MN License # 339184
MN Medicaid 190247400
MN Other 1787ACO BLUE CROSS BLUE SHIELD MINNESOTA
MN Other 5900066 MEDICA
MN Other 123281 UCARE MINNESOTA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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