Healthcare Provider Details

I. General information

NPI: 1649470782
Provider Name (Legal Business Name): HEALTHPARTNERS RC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HEALTHY WAY
OLIVIA MN
56277-1117
US

IV. Provider business mailing address

100 HEALTHY WAY
OLIVIA MN
56277-1117
US

V. Phone/Fax

Practice location:
  • Phone: 320-523-1261
  • Fax: 320-523-3458
Mailing address:
  • Phone: 320-523-1261
  • Fax: 320-523-3458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATHAN BLAD
Title or Position: PRESIDENT
Credential:
Phone: 320-523-3575