# PINE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1659459931
- **Legal business name:** PINE MEDICAL CENTER
- **Authorized official:** TIM ZWICKEY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (320) 245-5605

## Contact information

- **Practice address:** 109 COURT AVE S, SANDSTONE, MN 55072-5120
- **Practice address phone:** (320) 245-5604
- **Mailing address:** 109 COURT AVE S, SANDSTONE, MN 55072-5120
- **Mailing address phone:** (320) 245-5604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | 330737 | MN | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 01/24/2008