CLEARWATER COUNTY MEMORIAL HOSPITAL; NPI #1457321176

Contact Information

CLEARWATER COUNTY MEMORIAL HOSPITAL

123 4TH ST NW
BAGLEY, MN 56621-8306

Phone: 218-694-2384
Fax: 218-694-6687
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 CLEARWATER COUNTY MEMORIAL HOSPITAL

NPI Number 1457321176

LBN Legal business name CLEARWATER COUNTY MEMORIAL HOSPITAL

Authorized official NORA JENNINGS - (ADMIN SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2006

Last updated 01/27/2012 - About 14 years ago

Identifiers

Medicaid

879685800

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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