# ORTONVILLE AREA HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477799765
- **Authorized official:** MR. DAVID ROGERS (ADMINISTRATOR)
- **Authorized official phone:** (320) 839-2502

## Contact information

- **Practice address:** 450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
- **Practice address phone:** (320) 839-2502
- **Practice address fax:** (320) 839-4105
- **Mailing address:** 450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
- **Mailing address phone:** (320) 839-2502
- **Mailing address fax:** (320) 839-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MN | — |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | MN | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | MN | — |
| 261QP2300X | Primary Care Clinic/Center | — | MN | — |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 11/09/2015

## 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 | — |