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NPI Code Detail

MEDICARE: CHISHOLM HEALTH CENTER

MEDICARE: CHISHOLM HEALTH CENTER
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
1314000000XSkilled Nursing Facility328696MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NH0563OTHERUCARE
27122706OTHERMEDICA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
49605HEOTHERBCBS
5140017OTHERFIRST PLAN

General Provider Information

NPI Number : 1508814575
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHISHOLM HEALTH CENTER
Provider Business Mailing Address
First Line : 801 NEVADA AVE
Second Line :
City : MORRIS
State : MN
Zip : 56267-1865
Country : US
Telephone Number : 320-589-2004
Fax Number : 320-589-2543
Provider Business Practice Location Address
First Line : 321 6TH ST NE
Second Line :
City : CHISHOLM
State : MN
Zip : 55719-1287
Country : US
Telephone Number : 218-254-5765
Fax Number : 218-254-5767
Authorized Official
Title or Position : CFO
Name : CURTIS BACH
Credential :
Telephone Number : 320-589-4910
Provider Enumeration Date : 05/04/2006
Last Update Date : 02/05/2025

Similar Medicare Providers

1205245156 — CHRISTI BROOKS
Practice Location Address:
321 6TH ST NE
CHISHOLM, MN
55719-1287
Practice Phone: 218-254-5765
Practice Fax: 218-254-5767
1245649102 — CATHERINE JYLHA CCC-SLP
Practice Location Address:
321 6TH ST NE
CHISHOLM, MN
55719-1287
Practice Phone: 218-254-5765
Practice Fax: 218-254-5767
1295144145 — MEGAN GORNICK OTR;/L
Practice Location Address:
321 6TH ST NE
CHISHOLM, MN
55719-1287
Practice Phone: 218-254-5765
Practice Fax: 218-254-5767
1467972653 — MICHAEL JOSEPH MITCHELL PT
Practice Location Address:
321 6TH ST NE
CHISHOLM, MN
55719-1287
Practice Phone: 218-274-7712
Practice Fax: 218-254-9968
1568141760 — ELIZABETH COPEMAN OTR/L, CBIS, CTP
Practice Location Address:
321 6TH ST NE
CHISHOLM, MN
55719-1287
Practice Phone: 218-274-7712
Practice Fax:
1003886078 — GREGORY SKALKO
Practice Location Address:
100 3RD AVE SW
CHISHOLM, MN
55719-1732
Practice Phone: 218-254-3349
Practice Fax: 218-254-5656

Directions to “CHISHOLM HEALTH CENTER ” Practice Location

Language Start Address Practice Location
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