# FIRST CARE MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Essentia Health Fosston Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073638565
- **Authorized official:** KIM BODENSTEINER (CFO)
- **Authorized official phone:** (218) 435-7633

## Contact information

- **Practice address:** 900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
- **Practice address phone:** (218) 435-1133
- **Practice address fax:** (218) 435-1134
- **Mailing address:** 900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
- **Mailing address phone:** (218) 435-1133
- **Mailing address fax:** (218) 435-1134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 10/01/2021

## 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 |