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Contact Information

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
206 PLEASANT AVE S
PARK RAPIDS, MN56470-1417
 Phone: 218-732-4436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.

NPI # 1457101974
LBN Legal business name MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
Authorized official ERICA LUNDBERG - (DIRECTOR OF FINANCE AND OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/26/2024
Last updated 03/26/2024 - About 2 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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