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Contact Information

NORTHERN PINES MEDICAL CENTER
5211 HIGHWAY 110
AURORA, MN55705-1522
 Phone: 218-229-4210
 Fax: 218-229-4261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NORTHERN PINES MEDICAL CENTER

NPI # 1053694885
LBN Legal business name NORTHERN PINES MEDICAL CENTER
Authorized official JAMES TOMSCHE - (DIRECTOR OF ACUTE CARE PHARMAC)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2011
Last updated 04/26/2016 - About 10 years ago
Identifiers
MN License # 200749
MN Medicaid 173347800
Other 2045668 PK
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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