HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME; NPI #1952690034

Contact Information

HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME

315 N NORMAN ST
IVANHOE, MN 56142-9580

Phone: 507-694-1100
Fax:
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 HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME

NPI # 1952690034

LBN Legal business name HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME

Authorized official JEFF GOLLAHER - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/29/2011

Last updated 09/04/2014 - About 12 years ago

Identifiers

Other

243457

MEDICARE PROVIDER NUMBER

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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