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Organization
ORTONVILLE AREA HEALTH SERVICES
Active
Organization
ORTONVILLE AREA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROGERS (ADMINISTRATOR)
(320) 839-2502
Entity
Organization
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-2502
(320) 839-4105
Mailing address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-2502
(320) 839-4105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
MN
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
MN
261QM1300X
Multi-Specialty Clinic/Center
—
MN
261QP2300X
Primary Care Clinic/Center
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001120113
PRIMEWEST HEALTH
MN
01
—
05647N0
BLUE CROSS BLUE SHIELD
MN
01
—
106639P499
UCARE
MN
01
—
73143
HEALTH PARTNERS
MN
05
—
794447100
—
MN
01
—
9174004
DAKOTACARE
—
Enumeration date
12/17/2008
Last updated
11/09/2015
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