GRACEVILLE HEALTH CENTER; NPI #1487613287

Contact Information

GRACEVILLE HEALTH CENTER

104 MAIN STREET
CHOKIO, MN 56221

Phone: 320-324-7500
Fax: 320-324-7563
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 GRACEVILLE HEALTH CENTER

NPI # 1487613287

LBN Legal business name GRACEVILLE HEALTH CENTER

Authorized official KIM BODENSTEINER - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/21/2006

Last updated 02/11/2016 - About 10 years ago

Identifiers

Medicaid

102823500

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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