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Organization
CUYUNA REGIONAL MEDICAL CENTER
Active
Organization
CUYUNA REGIONAL MEDICAL CENTER
Active
Other names
Longville Lakes Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BERG (DIRECTOR OF FINANCE)
(218) 546-7000
Entity
Organization
Contact information
Practice address
180 JORDAN LANE, LONGVILLE, MN 56655
(218) 363-3300
(218) 363-2233
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 363-2233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-3872
RHC
MN
05
—
684513400
—
MN
Enumeration date
07/24/2006
Last updated
05/04/2017
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