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NPI Code Detail

MEDICARE: DOUGLAS COUNTY HOSPITAL

MEDICARE: DOUGLAS COUNTY HOSPITAL
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
1282N00000XGeneral Acute Care HospitalMN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11517HDOOTHERMNBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1164424305
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUGLAS COUNTY HOSPITAL
Provider Business Mailing Address
First Line : 111 17TH AVE E
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-3703
Country : US
Telephone Number : 320-762-1511
Fax Number : 320-762-6101
Provider Business Practice Location Address
First Line : 111 17TH AVE E
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-3703
Country : US
Telephone Number : 320-762-1511
Fax Number : 320-762-6101
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. CARL VAAGENES
Credential :
Telephone Number : 320-762-6021
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/15/2025

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Practice Fax:
1619967890 — DR. MARK REID SPANBAUER M.D.
Practice Location Address:
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1134119324 — DR. DEAN QUANG TRINH MD
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1811988025 — WEST CENTRAL PATHOLOGY AND LABORATORY MEDICINE PA
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Directions to “DOUGLAS COUNTY HOSPITAL ” Practice Location

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