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Contact Information

MILLE LACS HEALTH SYSTEM
26362 370TH AVE
HILLMAN, MN56338-2349
 Phone: 320-277-3682
 Fax: 320-277-3372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MILLE LACS HEALTH SYSTEM

NPI Number 1326200411
LBN Legal business name MILLE LACS HEALTH SYSTEM
Authorized official JOHN UNZEN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/30/2008
Last updated 04/26/2017 - About 9 years ago
Identifiers
MN Medicaid 630994100
MN Other 33523MI BLUE CROSS BLUE SHIELD MINNESOTA
MN Other 115808 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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