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	273R00000X	Psychiatric Hospital Unit	331001	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1006110	OTHER	MN	PREF 1
2	1685H CE	OTHER	MN	BLUE CROSS
3	50-25402	OTHER	MN	MEDICA
4	2090	OTHER	MN	HEALTH PARTNERS
5	5021809	OTHER	MN	UBH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1561	OTHER	MN	HEALTH PARTNERS
8	H104 300096	OTHER	MN	UCARE

General Provider Information

NPI Number	:	1780655696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANGE REGIONAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	750 E 34TH ST
Second Line	:
City	:	HIBBING
State	:	MN
Zip	:	55746-3522
Country	:	US
Telephone Number	:	218-262-4881
Fax Number	:	218-362-6163

Provider Business Practice Location Address
First Line	:	750 E 34TH ST
Second Line	:
City	:	HIBBING
State	:	MN
Zip	:	55746-3522
Country	:	US
Telephone Number	:	218-262-4881
Fax Number	:	218-362-6163

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	05/05/2008

Similar Medicare Providers

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Practice Location Address:

750 E 34TH ST
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55746-3522

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Practice Fax:

1972610939 — DR. PAUL ALLEN LINDHOLM M.D.
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1427057447 — DR. ANDREW WILLIAM MCKIBBEN MD
Practice Location Address:

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

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1619967775 — SANDRA LEA HANSON
Practice Location Address:

3605 MAYFAIR AVE
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Directions to “RANGE REGIONAL HEALTH SERVICES ” Practice Location

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