| Specialty | Taxonomy Code | |
|---|---|---|
| * | Rural Health | 261QR1300X |
| Clinic/Center | 261Q00000X |
* Indicates primary specialty
| NPI Number | 1629402516 |
| Legal business name LBN |
CENTRACARE HEALTH-PAYNESVILLE LLC |
| Authorized official | MICHAEL BLAIR - (SR. VICE PRESIDENT AND CFO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/27/2013 |
| Last updated | 10/10/2019 - About 7 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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.
There are currently no reviews for CENTRACARE HEALTH-PAYNESVILLE LLC