Organization
FIRST CARE MEDICAL SERVICES
Active
Other names
Essentia Health Fosston Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000452
MEDICA FOR MNCARE #
MN
01
—
253K0FI
BLUE PLUS GROUP #
MN
05
—
381347900
—
MN
01
—
3901610
MEDICA GROUP #
MN
01
—
7T834FI
BLUE CROSS GROUP #
MN
01
—
89020
HEALTHPARTNERS GROUP #
MN
Enumeration date
03/21/2007
Last updated
10/01/2021
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