Organization
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L BREUER (CEO/ADMINISTRATOR)
(218) 878-7621
Entity
Organization
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 879-4641
(218) 879-4641
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 879-4641
(218) 879-4641
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
331457
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695045100
—
MN
Enumeration date
05/18/2006
Last updated
12/29/2020
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