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General NPI Number Information
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NPI Number | 1073516357
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Entity Type | Organization
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Legal Business Name | WARREN COMMUNITY HOSPITAL, INC.
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 300 W GOOD SAMARITAN DR
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City | WARREN
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State | MN
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Zip | 56762-1412
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Country | US
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Telephone | 218-745-4211
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Fax | 218-745-4215
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Provider Business Mailing Address
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Address Line | 300 W GOOD SAMARITAN DR
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City | WARREN
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State | MN
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Zip | 56762-1412
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Country | US
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Telephone | 218-745-4211
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Fax | 218-745-4215
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Authorized Official
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Title or Position | CEO
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Name | MR. JON E LINNELL
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Credential |
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Telephone | 218-745-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 327602
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 327602
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License Number State | MN
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