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NPI Code Detail

MEDICARE: RAINY LAKE NATURAL HEALTHCARE, INC.

MEDICARE: RAINY LAKE NATURAL HEALTHCARE, 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
1261QH0100XHealth Service Clinic/CenterND 100194CT

General Provider Information

NPI Number : 1962892778
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAINY LAKE NATURAL HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 800 3RD ST
Second Line :
City : INTERNATIONAL FALLS
State : MN
Zip : 56649-2207
Country : US
Telephone Number : 218-324-3297
Fax Number :
Provider Business Practice Location Address
First Line : 800 3RD ST
Second Line :
City : INTERNATIONAL FALLS
State : MN
Zip : 56649-2207
Country : US
Telephone Number : 218-324-3297
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT ALAN SCHOLLER
Credential : N.D.
Telephone Number : 218-324-3297
Provider Enumeration Date : 01/31/2015
Last Update Date : 01/31/2015

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Directions to “RAINY LAKE NATURAL HEALTHCARE, INC. ” Practice Location

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