CCM HEALTH; NPI #1720086028

Contact Information

CCM HEALTH

824 N 11TH ST
MONTEVIDEO, MN 56265

Phone: 320-269-8877
Fax: 320-269-8186
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Clinic/Center	261Q00000X

Indicates primary specialty

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NPI Profile & details for CCM HEALTH

NPI # 1720086028

LBN Legal business name CCM HEALTH

Authorized official DESERAE ANSPACH - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/11/2005

Last updated 01/19/2023 - About 3 years ago

Identifiers

MN	License #	327693
MN	Medicaid	855345900

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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