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General NPI Number Information
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NPI Number | 1912999137
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Entity Type | Organization
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Legal Business Name | MADELIA HEALTH
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 121 DREW AVE SE
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City | MADELIA
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State | MN
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Zip | 56062-1841
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Country | US
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Telephone | 507-642-3255
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Fax | 507-642-8516
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Provider Business Mailing Address
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Address Line | 121 DREW AVE SE
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City | MADELIA
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State | MN
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Zip | 56062-1841
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Country | US
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Telephone | 507-642-3255
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Fax | 507-642-5203
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | KAYLA MCGUIRE
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Credential |
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Telephone | 507-642-3255
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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 |
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License Number State |
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