# PAYNESVILLE AREA HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREEN LAKE MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821202359
- **Authorized official:** BOBBE TEIGEN (CEO)
- **Authorized official phone:** (320) 243-3767

## Contact information

- **Practice address:** 300 HIGHWAY 23, SUITE 4, SPICER, MN 56288-4607
- **Practice address phone:** (320) 796-5555
- **Practice address fax:** (320) 796-5558
- **Mailing address:** 300 HIGHWAY 23, SUITE 4, SPICER, MN 56288-4607
- **Mailing address phone:** (320) 796-5555
- **Mailing address fax:** (320) 796-5558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 03/29/2010