NPI Details | |
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NPI | 1104143791 |
Enumeration Date | 04/23/2010 |
Last Updated | 04/23/2010 |
Entity Type | Healthcare Provider |
Active | Over 7 years ago |
Authorized Information | |
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Name | CRAIG CRAIG |
Position | CHIEF FINANCIAL OFFICER |
Phone | (218) 485-4481 |
Fax |
Practice Location | |
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710 S KENWOOD AVE MOOSE LAKE MN, 55767-9405, US |
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Phone | (218) 485-4481 |
Fax |
Business Location | |
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710 S KENWOOD AVE MOOSE LAKE MN, 55767-9405, US |
|
Phone | (218) 485-4481 |
Fax |
Toxanomy | |
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Taxonomy Code | 310400000X |
License State | |
License Number | |
Remove 1104143791 NPI Number |
According to our database, Augustana Mercy Care Center Llc NPI is 1104143791, taxonomy code is 310400000X Augustana Mercy Care Center Llc physically located at 710 S Kenwood Ave, Moose Lake MN, 55767-9405. NPI Number 1033115704 has the healthcare provider type.
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1104143791 NPI number is provided on an as is basis without warranty of any kind. 1104143791 is maintained by the National Plan & Provider Enumeration System. The contents of Augustana Mercy Care Center Llc are for informational purposes only.
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