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Contact Information

NORTHERN PINES MEDICAL CENTER
5211 HWY 110
AURORA, MN55705
 Phone: 218-229-2211
 Fax: 218-229-2042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 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 # 1871651646
LBN Legal business name NORTHERN PINES MEDICAL CENTER
Authorized official LAURA ACKMAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 10/07/2010 - About 16 years ago
Identifiers
MN Medicaid 173347800
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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