Healthcare Provider Details

I. General information

NPI: 1396610879
Provider Name (Legal Business Name): ALOMERE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 17TH AVE E STE 1
ALEXANDRIA MN
56308-0057
US

IV. Provider business mailing address

1500 IRVING ST
ALEXANDRIA MN
56308-0046
US

V. Phone/Fax

Practice location:
  • Phone: 320-759-4326
  • Fax: 320-759-4327
Mailing address:
  • Phone: 320-762-0857
  • Fax: 320-763-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CARL P VAAGENES
Title or Position: CEO
Credential:
Phone: 320-762-6021