Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1548212699 |
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| LBN Legal business name | MILLE LACS HEALTH SYSTEM | ||||||||||||||||||||||||||||||||
| Authorized official | JOHN UNZEN - (CFO) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||||||||||
| Enumeration date | 05/17/2006 | ||||||||||||||||||||||||||||||||
| Last updated | 04/26/2017 - About 9 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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MILLE LACS HEALTH SYSTEM
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