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Contact Information

MERITCARE 1219
1219 S WASHINGTON AVE
DETROIT LAKES, MN56501-3905
 Phone: 218-846-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MERITCARE 1219

NPI Number 1871749036
LBN Legal business name MERITCARE 1219
Authorized official LISA CARLSON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2008
Last updated 08/13/2008 - About 18 years ago
Identifiers n/a
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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