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General NPI Number Information
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NPI Number | 1962403295
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Entity Type | Organization
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Legal Business Name | ORTONVILLE AREA HEALTH SERVICES
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 201 MARK DRIVE
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City | ORTONVILLE
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State | MN
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Zip | 56278
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Country | US
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Telephone | 320-839-2502
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Fax | 320-839-4105
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Provider Business Mailing Address
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Address Line | 201 MARK DRIVE
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City | ORTONVILLE
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State | MN
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Zip | 56278-9999
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Country | US
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Telephone | 320-839-2502
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Fax | 320-839-4105
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Authorized Official
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Title or Position | CEO
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Name | DR. ALLAN ROSS
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Credential | MD
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Telephone | 320-839-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 328420
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License Number State | MN
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