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NPI Code Detail

MEDICARE: PAYNESVILLE AREA HOSPITAL DISTRICT

MEDICARE: PAYNESVILLE AREA HOSPITAL DISTRICT
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 Facility330600MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23L41PAOTHERBCBS
303072202706OTHERPRIMEWEST

General Provider Information

NPI Number : 1912965260
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAYNESVILLE AREA HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 200 W 1ST ST
Second Line :
City : PAYNESVILLE
State : MN
Zip : 56362-1445
Country : US
Telephone Number : 320-243-3767
Fax Number : 320-243-7519
Provider Business Practice Location Address
First Line : 200 W 1ST ST
Second Line :
City : PAYNESVILLE
State : MN
Zip : 56362-1445
Country : US
Telephone Number : 320-243-3767
Fax Number : 320-243-7519
Authorized Official
Title or Position : CFO/COO
Name : GREG WILSON
Credential :
Telephone Number : 320-243-3767
Provider Enumeration Date : 05/03/2006
Last Update Date : 06/21/2012

Similar Medicare Providers

1538136882 — JULIE KAY YOUNGS MD
Practice Location Address:
200 W 1ST ST
PAYNESVILLE, MN
56362-1445
Practice Phone: 320-243-3767
Practice Fax: 320-243-3174
1457329393 — MRS. JACQUELINE S OSTERHAUS PA-C
Practice Location Address:
200 W 1ST ST
PAYNESVILLE, MN
56362-1445
Practice Phone: 320-243-3779
Practice Fax:
1770551475 — JENNIFER DEAN DWYER PA
Practice Location Address:
200 W 1ST ST
PAYNESVILLE, MN
56362-1445
Practice Phone: 320-243-3779
Practice Fax: 320-243-6707
1821057662 — DR. JANE MARIE PETERSON MD
Practice Location Address:
200 W 1ST ST
PAYNESVILLE, MN
56362-1445
Practice Phone: 320-243-3779
Practice Fax: 320-243-7509
1902864259 — PAYNESVILLE AREA HOSPITAL DISTRICT
Practice Location Address:
200 W 1ST ST
PAYNESVILLE, MN
56362-1445
Practice Phone: 320-243-3767
Practice Fax: 320-243-7519
1124052782 — DR. LAWRENCE GORDON STRATE M.D.,
Practice Location Address:
200 W 1ST ST
PAYNESVILLE, MN
56362-1445
Practice Phone: 320-243-3763
Practice Fax: 320-243-3174

Directions to “PAYNESVILLE AREA HOSPITAL DISTRICT ” Practice Location

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