Healthcare Provider Details

I. General information

NPI: 1861046971
Provider Name (Legal Business Name): DOUGLAS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 17TH AVE E STE 1
ALEXANDRIA MN
56308-5273
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 320-759-4326
  • Fax: 320-759-4327
Mailing address:
  • Phone: 320-759-4326
  • Fax: 320-759-4327

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: ADMINISTRATOR
Credential:
Phone: 320-762-6021