Organization
CLEARWATER COUNTY MEMORIAL HOSPITAL
Active
Other names
Clearwater Health Services Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORA C JENNINGS (ADMIN SECRETARY)
(218) 694-6501
Entity
Organization
Contact information
Practice address
22 ELM STREET NW, CLEARBROOK, MN 56634
(218) 694-3124
(218) 694-3184
Mailing address
PO BOX 67, CLEARBROOK, MN 56634-0067
(218) 694-3124
(218) 694-3184
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899605900
—
MN
Enumeration date
01/26/2006
Last updated
02/17/2012
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