True North Health Care Pa

NPI 1255733564 - Clinic/Center - 261QP2300X

NPI Details
NPI 1255733564
Enumeration Date 09/17/2014
Last Updated 09/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DIANE MOUNTAIN DIANE
Position PRESIDENT
Phone (218) 308-0294
Fax (888) 375-3627
Practice Location
521 MINNESOTA AVE NW
BEMIDJI MN, 56601-3024, US
Phone (218) 308-0294
Fax (888) 375-3627
Business Location
9180 GOODNUFF LN NE
BEMIDJI MN, 56601-9780, US
Phone (218) 308-0294
Fax (888) 375-3627
Toxanomy
Taxonomy Code 261QP2300X
License State Minnesota
License Number 29637
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According to our database, True North Health Care Pa NPI is 1255733564, taxonomy code is 261QP2300X and license number is 29637, license state is located at Minnesota. True North Health Care Pa physically located at 521 Minnesota Ave Nw, Bemidji MN, 56601-3024. NPI Number 1033115704 has the healthcare provider type.

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1255733564 NPI number is provided on an as is basis without warranty of any kind. 1255733564 is maintained by the National Plan & Provider Enumeration System. The contents of True North Health Care Pa are for informational purposes only.