# RUM RIVER HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1629131461
- **Authorized official:** DR. PETER JENSEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (763) 389-5080

## Contact information

- **Practice address:** 1506 1ST ST, PRINCETON, MN 55371-1462
- **Practice address phone:** (763) 389-5080
- **Practice address fax:** (763) 389-5453
- **Mailing address:** 101 18TH AVE N, PRINCETON, MN 55371-4756
- **Mailing address phone:** (763) 389-5080
- **Mailing address fax:** (763) 631-9117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 07/18/2012
