Organization
ORTONVILLE AREA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROGERS (ADMINISTRATOR)
(320) 839-2502
Entity
Organization
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-2502
(320) 839-4105
Mailing address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-2502
(320) 839-4105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
359229
MN
311ZA0620X
Adult Care Home Facility
328367
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790AOR
BLUE CROSS OF MN
MN
Enumeration date
08/11/2005
Last updated
11/09/2015
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