CCM HEALTH; NPI #1407636475

Contact Information

CCM HEALTH

824 N 11TH ST
MONTEVIDEO, MN 56265-1629

Phone: 320-269-8877
Fax: 320-321-8289
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 CCM HEALTH

NPI Number	`1407636475`
LBN Legal business name	CCM HEALTH
Authorized official	DESI ANSPACH - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/05/2023
Last updated	10/05/2023 - About 3 years ago
Identifiers	n/a

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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