Organization
MILLE LACS HEALTH SYSTEM
Active
Parent organization
MILLE LACS HEALTH SYSTEM
Other names
Mille Lacs Family Clinic Onamia
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS HEALTH SYSTEM
Authorized official
MR. JOHN W UNZEN (CFO)
(320) 532-2581
Entity
Organization
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM ST N, PO BOX A, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006091
PREFERRED ONE
MN
01
—
103185
UCARE
MN
01
—
10719
HEALTH PARTNERS
MN
01
—
33523MI
BLUE CROSS BLUE SHIELD MINNESOTA
MN
01
—
5012782
MEDICA
MN
05
—
666353200
—
MN
Enumeration date
07/03/2008
Last updated
04/26/2017
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