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NPI Code Detail

MEDICARE: STELLHER HUMAN SERVICES, INC.

MEDICARE: STELLHER HUMAN SERVICES, INC.
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
1251S00000XCommunity/Behavioral Health Agency1042736-1-CDTMN

General Provider Information

NPI Number : 1437221421
Entity Type Code : Organization
Provider Name (Legal Business Name) : STELLHER HUMAN SERVICES, INC.
Provider Business Mailing Address
First Line : 514 BELTRAMI AVE NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-3010
Country : US
Telephone Number : 218-751-5919
Fax Number : 218-444-2847
Provider Business Practice Location Address
First Line : 16770 CLEARWATER LAKE RD
Second Line :
City : CLEARBROOK
State : MN
Zip : 56634-4223
Country : US
Telephone Number : 218-444-2845
Fax Number : 218-444-2847
Authorized Official
Title or Position : VICE PRESIDENT
Name : STEVE M. JACKELEN
Credential : MS
Telephone Number : 218-444-2845
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/22/2020

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Directions to “STELLHER HUMAN SERVICES, INC. ” Practice Location

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