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General NPI Number Information
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NPI Number | 1659355600
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Entity Type | Organization
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Legal Business Name | SAINT ELIZABETHS HOSPITAL OF WABASHA INC
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 1200 GRANT BLVD W
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City | WABASHA
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State | MN
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Zip | 55981-1098
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Country | US
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Telephone | 651-565-4531
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Fax | 651-565-2482
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Provider Business Mailing Address
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Address Line | 1200 GRANT BLVD W
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City | WABASHA
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State | MN
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Zip | 55981-1042
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Country | US
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Telephone | 651-565-4531
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Fax | 651-565-2482
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Authorized Official
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Title or Position | CFO
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Name | JOHN K WOLFE
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Credential |
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Telephone | 651-565-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 2005427
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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