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Organization
FIRST CARE MEDICAL SERVICES
Active
Organization
FIRST CARE MEDICAL SERVICES
Active
Other names
Essentia Health Fosston Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000452
MEDICA FOR MNCARE #
MN
01
—
253K0FI
BLUE PLUS GROUP #
MN
05
—
381347900
—
MN
01
—
3901610
MEDICA GROUP #
MN
01
—
7T834FI
BLUE CROSS GROUP #
MN
01
—
89020
HEALTHPARTNERS GROUP #
MN
Enumeration date
03/21/2007
Last updated
10/01/2021
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