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Organization

FIRST CARE MEDICAL SERVICES

Active
Other names
Essentia Health Oklee Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization

Contact information

Practice address
400 GOVERNOR STREET, OKLEE, MN 56742-0000
(218) 796-4525
Mailing address
400 GOVERNOR STREET, OKLEE, MN 56742-0000
(218) 796-4525

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QR1300X
Rural Health Clinic/Center
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381347900
MN
Enumeration date
04/07/2011
Last updated
10/01/2021
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