CENTRACARE HEALTH SERVICES OF MELROSE; NPI #1366675134

Contact Information

CENTRACARE HEALTH SERVICES OF MELROSE

525 W MAIN ST
MELROSE, MN 56352-1043

Phone: 320-256-4231
Fax: 320-256-4949
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for CENTRACARE HEALTH SERVICES OF MELROSE

NPI Number 1366675134

LBN Legal business name CENTRACARE HEALTH SERVICES OF MELROSE

Authorized official GREG KLUGHERZ - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/27/2009

Last updated 06/15/2017 - About 9 years ago

Identifiers

License #

342768

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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