Organization
HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GOLLAHER (CEO)
(507) 275-3134
Entity
Organization
Contact information
Practice address
503 EAST LINCOLN STREET, HENDRICKS, MN 56136-0106
(507) 275-3134
(507) 275-2242
Mailing address
PO BOX 106, HENDRICKS, MN 56136-0106
(507) 275-3134
(507) 275-2242
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
330907
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9030470
—
SD
Enumeration date
10/31/2006
Last updated
08/22/2020
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