National Provider Identifier Database

CLEARWATER COUNTY MEMORIAL HOSPITAL
Rural Health


Contact Information

CLEARWATER COUNTY MEMORIAL HOSPITAL
123 4TH ST NW
BAGLEY, MN56621-8306
Phone: 218-694-2384
Fax: 218-694-6687
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CLEARWATER COUNTY MEMORIAL HOSPITAL

NPI Number 1457321176
Legal business name
LBN
CLEARWATER COUNTY MEMORIAL HOSPITAL
Authorized official NORA JENNINGS - (ADMIN SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 01/25/2006
Last updated 01/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 879685800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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