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Organization

ACCESS NORTH CENTER FOR INDEPENDENT LIVING OF NORTHEASTERN MINNESOTA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD P. BRUNETTE (EXECUTIVE DIRECTOR)
(218) 262-6675
Entity
Organization

Contact information

Practice address
1309 E 40TH ST, HIBBING, MN 55746
(218) 262-6675
(218) 262-1401
Mailing address
1309 E 40TH ST, HIBBING, MN 55746
(218) 262-6675
(218) 262-1401

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120062
FIRST PLAN BLUE
MN
01
160 005
U CARE ID
MN
01
629S9CE
BLUE PLUS ID
MN
01
847517200
MHCP ID
MN
Enumeration date
09/28/2006
Last updated
04/10/2015
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