# OSCEOLA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OSCEOLA MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588813778
- **Legal business name:** OSCEOLA MEDICAL CENTER
- **Authorized official:** MATT FORGE (CEO)
- **Authorized official phone:** (715) 294-5622

## Contact information

- **Practice address:** 2600 65TH AVE, OSCEOLA, WI 54020
- **Practice address phone:** (952) 653-2528
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 01/10/2020