Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1285183046 |
| LBN Legal business name | NORTHERN PINES MEDICAL CENTER |
| Authorized official | KEVIN BOREN - (VP OF FINANCE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/22/2016 |
| Last updated | 02/27/2024 - About 2 years ago |
| Identifiers | n/a |
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NORTHERN PINES MEDICAL CENTER
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