MEDICARE: RANGE REGIONAL HEALTH SERVICES

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	330102	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3J32NO	OTHER		BLUE CROSS BLUE SHIELD
2	5000170	OTHER		MEDICA

General Provider Information

NPI Number	:	1427036169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANGE REGIONAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	750 EAST 34TH ST
Second Line	:
City	:	HIBBING
State	:	MN
Zip	:	55746-2341
Country	:	US
Telephone Number	:	218-362-6657
Fax Number	:	218-362-6619

Provider Business Practice Location Address
First Line	:	1101 EAST 37TH ST
Second Line	:	STE 27
City	:	HIBBING
State	:	MN
Zip	:	55746-2925
Country	:	US
Telephone Number	:	218-262-6982
Fax Number	:	218-262-1723

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. JOHN D KRITZ
Credential	:
Telephone Number	:	218-362-6657

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	04/20/2008

Similar Medicare Providers

1992782239 — RANGE REGIONAL HEALTH SERVICES
Practice Location Address:

1101 E 37TH ST , STE 27
HIBBING, MN
55746-2925

Practice Phone: 218-262-6982
Practice Fax: 218-262-1723

1972610939 — DR. PAUL ALLEN LINDHOLM M.D.
Practice Location Address:

750 E 34TH ST
HIBBING, MN
55746-2341

Practice Phone: 218-262-4881
Practice Fax: 218-362-6989

1598768350 — RECOVER HEALTH OF MINNESOTA, INC.
Practice Location Address:

302 E HOWARD ST STE 116
HIBBING, MN
55746-1772

Practice Phone: 218-262-5887
Practice Fax: 218-262-6228

1427057447 — DR. ANDREW WILLIAM MCKIBBEN MD
Practice Location Address:

FAIRVIEW RANGE MEDICAL CENTER , 750 E 34TH ST
HIBBING, MN
55746-2341

Practice Phone: 612-672-2258
Practice Fax: 612-672-6041

1255331427 — DR. ERNEST THOMAS WILLIAMS JR. O.D.
Practice Location Address:

2932 1ST AVE
HIBBING, MN
55746-2564

Practice Phone: 218-262-5686
Practice Fax: 218-263-6938

1144210071 — DR. PAUL RICHARD KINDAMO D.O.
Practice Location Address:

750 E 34TH ST
HIBBING, MN
55746-3522

Practice Phone: 218-362-6621
Practice Fax:

Directions to “RANGE REGIONAL HEALTH SERVICES ” Practice Location

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