Healthcare Provider Details

I. General information

NPI: 1659314789
Provider Name (Legal Business Name): DEER RIVER HEALTHCARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BIRCH ST NE
REMER MN
56672-4469
US

IV. Provider business mailing address

9 BIRCH ST NE
REMER MN
56672-4469
US

V. Phone/Fax

Practice location:
  • Phone: 218-566-1441
  • Fax:
Mailing address:
  • Phone: 218-566-1441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN FELTMAN
Title or Position: CFO
Credential:
Phone: 218-742-8662