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Contact Information

DEER RIVER HEALTHCARE CENTER, INC.
115 10TH AVE NE
DEER RIVER, MN56636-8795
 Phone: 218-246-2900
 Fax: 218-246-3013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Adult Day Care

261QA0600X
 

Assisted Living Facility

310400000X
 

Bus

347B00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DEER RIVER HEALTHCARE CENTER, INC.

NPI # 1225049018
LBN Legal business name DEER RIVER HEALTHCARE CENTER, INC.
Authorized official KEVIN BOREN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/10/2006
Last updated 04/07/2022 - About 4 years ago
Identifiers
MN License # 204876-9
MN License # 331194
MN License # 333123
MN License # 800862-1-ADC
MN Medicaid 1225049018
MN Other 1604HCO BLUE CROSS
MN Other 5025365 MEDICA
MN Other 1021626 PREFERRED ONE
MN Other 300367 UCARE
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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