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NPI Code Detail

MEDICARE: KITTSON MEMORIAL HOSPITAL ASSOCIATION

MEDICARE: KITTSON MEMORIAL HOSPITAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency327220MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11670AKIOTHERMNBCBS PROVIDER # HOMECARE
2167520OTHERMNUCARE MN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48G487KIOTHERMNBCBS PROVIDER # PUBHEALTH
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427050582
Entity Type Code : Organization
Provider Name (Legal Business Name) : KITTSON MEMORIAL HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : 1010 S BIRCH AVE
Second Line :
City : HALLOCK
State : MN
Zip : 56728-4215
Country : US
Telephone Number : 218-843-3662
Fax Number : 218-843-2487
Provider Business Practice Location Address
First Line : 1010 S. BIRCH AVE
Second Line :
City : HALLOCK
State : MN
Zip : 56728-4215
Country : US
Telephone Number : 218-843-3662
Fax Number : 218-843-2487
Authorized Official
Title or Position : CEO
Name : ANDREA SWENSON
Credential :
Telephone Number : 218-843-3612
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/03/2025

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1134203805 — JULIE A. J. JOHNSON FNP
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Directions to “KITTSON MEMORIAL HOSPITAL ASSOCIATION ” Practice Location

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