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Contact Information

CLEARWATER CNTY MEM HOSP PHCY
203 4TH ST NW
BAGLEY, MN56621-8305
 Phone: 218-694-6501
 Fax: 218-694-2185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CLEARWATER CNTY MEM HOSP PHCY

NPI Number 1558397232
LBN Legal business name CLEARWATER CNTY MEM HOSP PHCY
Authorized official BARBARA BERGQUIST - (PHARMASIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MN License # 2057721
Other 2414681 OTHER ID NUMBER-COMMERCIAL NUMBER
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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