Healthcare Provider Details

I. General information

NPI: 1316089196
Provider Name (Legal Business Name): LITTLEFORK MUNICIPAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 MAIN ST
LITTLEFORK MN
56653-9357
US

IV. Provider business mailing address

912 MAIN ST
LITTLEFORK MN
56653-9357
US

V. Phone/Fax

Practice location:
  • Phone: 218-278-6634
  • Fax: 218-278-6637
Mailing address:
  • Phone: 218-278-6634
  • Fax: 218-278-6637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number322469
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number321529
License Number StateMN

VIII. Authorized Official

Name: LILA M LEHMAN
Title or Position: BOARD OF DIRECTOR
Credential:
Phone: 218-278-4245