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NPI Code Detail

MEDICARE: DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS

MEDICARE: DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS
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
1282NC0060XCritical Access Hospital

General Provider Information

NPI Number : 1194754382
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS
Provider Business Mailing Address
First Line : 425 7TH ST NW
Second Line :
City : CASS LAKE
State : MN
Zip : 56633-3360
Country : US
Telephone Number : 218-335-3200
Fax Number : 218-335-3204
Provider Business Practice Location Address
First Line : 425 7TH ST NW
Second Line :
City : CASS LAKE
State : MN
Zip : 56633-3360
Country : US
Telephone Number : 218-335-3200
Fax Number : 218-335-3204
Authorized Official
Title or Position : CEO
Name : ANDREW J LANKOWICZ
Credential : CEO
Telephone Number : 218-335-3200
Provider Enumeration Date : 07/01/2006
Last Update Date : 11/29/2023

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Directions to “DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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