Organization
RICE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN HINDERKS (DIRECTOR OF REVENUE CYCLE)
(320) 231-4425
Entity
Organization
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
(320) 231-4879
Mailing address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
(320) 231-4879
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
331093
MN
302R00000X
Health Maintenance Organization
331093
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4T367RI
BCBS CFR RDC
MN
Enumeration date
07/17/2007
Last updated
07/17/2013
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