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General NPI Number Information
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NPI Number | 1528041183
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 1400 HIGHWAY 71
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City | INTERNATIONAL FALLS
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State | MN
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Zip | 56649-2154
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Country | US
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Telephone | 218-283-4481
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Fax | 218-283-2281
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Provider Business Mailing Address
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Address Line | 1400 HIGHWAY 71
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City | INTERNATIONAL FALLS
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State | MN
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Zip | 56649-2154
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Country | US
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Telephone | 218-283-4481
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Fax | 218-283-2281
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT PASTOR
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Credential |
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Telephone | 218-283-5488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 8404773
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License Number State | MN
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