Organization
CENTRACARE HEALTH-PAYNESVILLE LLC
Active
Other names
CentraCare Health Paynesville - Richmond Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
130 1ST ST NE, RICHMOND, MN 56368-8183
(320) 597-2122
(320) 597-2102
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
(320) 243-7955
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
10/10/2019
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