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NPI 1952370348

NPI 1952370348 : CITY OF SLEEPY EYE : SLEEPY EYE, MN

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General NPI Number Information
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    NPI Number           |    1952370348
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF SLEEPY EYE 
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Dates
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    Enumeration Date     |    03/16/2006
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    Last Update Date     |    09/25/2019
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Provider Practice Location Address
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    Address Line         |    400 4TH AVE NW 
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    City                 |    SLEEPY EYE
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    State                |    MN
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    Zip                  |    56085-1109
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    Country              |    US
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    Telephone            |    507-794-3571
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    Fax                  |    507-794-5950
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Provider Business Mailing Address
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    Address Line         |    400 4TH AVE NW 
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    City                 |    SLEEPY EYE
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    State                |    MN
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    Zip                  |    56085-1109
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    Country              |    US
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    Telephone            |    507-794-3571
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    Fax                  |    507-794-5950
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/CEO
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    Name                 |     KEVIN ROBERT SELLHEIM 
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    Credential           |    
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    Telephone            |    507-794-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    275N00000X
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    Taxonomy Name        |    Medicare Defined Swing Bed Hospital Unit
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    License Number       |    327647
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    327647
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    0915450001
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    License Number State |    MN
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Taxonomy #4
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    327647
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    License Number State |    MN
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