Healthcare Provider Details

I. General information

NPI: 1053497214
Provider Name (Legal Business Name): COUNTY OF MURRAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2042 JUNIPER AVE
SLAYTON MN
56172-1017
US

IV. Provider business mailing address

2042 JUNIPER AVE
SLAYTON MN
56172-1017
US

V. Phone/Fax

Practice location:
  • Phone: 507-836-1277
  • Fax:
Mailing address:
  • Phone: 507-836-1277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number327597
License Number StateMN

VIII. Authorized Official

Name: MR. MEL SNOW
Title or Position: CEO
Credential:
Phone: 507-836-1277