MEDICARE: CONNECTCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	333224	MN

General Provider Information

NPI Number	:	1093819708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTCARE

Provider Business Mailing Address
First Line	:	710 PARK ISLAND DR SW
Second Line	:
City	:	HUTCHINSON
State	:	MN
Zip	:	55350-2046
Country	:	US
Telephone Number	:	320-234-5031
Fax Number	:	320-234-5032

Provider Business Practice Location Address
First Line	:	710 PARK ISLAND DR SW
Second Line	:
City	:	HUTCHINSON
State	:	MN
Zip	:	55350-2046
Country	:	US
Telephone Number	:	320-234-5031
Fax Number	:	320-234-5032

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. DEEANN JOLENE DICKE
Credential	:	RN
Telephone Number	:	320-234-4611

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

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1962597096 — REGIONAL EYE SPECIALISTS LLC
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1851246789 — STACY PETERSON
Practice Location Address:

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1457357782 — DR. KEITH RAYMOND KAMRATH D.C.
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