Healthcare Provider Details

I. General information

NPI: 1194711986
Provider Name (Legal Business Name): ASTERA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 DOUGLAS AVE
HENNING MN
56551-4026
US

IV. Provider business mailing address

401 DOUGLAS AVE PO BOX 16
HENNING MN
56551-4026
US

V. Phone/Fax

Practice location:
  • Phone: 218-583-2953
  • Fax: 218-583-4521
Mailing address:
  • Phone: 218-583-2953
  • Fax: 218-583-4521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOEL BEISWENGER
Title or Position: CEO
Credential:
Phone: 218-631-7489