Organization
NORTHERN ITASCA HOSPITAL DISTRICT
Active
Other names
Bigfork Valley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD DANIEL ODEGAARD (CEO)
(218) 743-3177
Entity
Organization
Contact information
Practice address
258 PINE TREE DRIVE, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Mailing address
258 PINE TREE DRIVE, P.O. BOX 258, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
331040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010473
PREFERRED ONE
MN
01
—
1547HNO
BLUE CROSS
MN
01
—
2257
HEALTH PARTNERS
MN
01
—
300410
UCARE
MN
01
—
361259
HOSPICE
MN
01
—
5025357
MEDICA CHOICE
MN
01
—
98592
ARAZ
MN
Enumeration date
06/16/2006
Last updated
08/22/2020
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