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Organization

LITTLEFORK MUNICIPAL HOSPITAL

Active
Other names
Pineview Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
LILA M LEHMAN (BOARD OF DIRECTOR)
(218) 278-4245
Entity
Organization

Contact information

Practice address
912 MAIN ST, LITTLEFORK, MN 56653-9357
(218) 278-6634
(218) 278-6637
Mailing address
912 MAIN ST, LITTLEFORK, MN 56653-9357
(218) 278-6634
(218) 278-6637

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
810925-1CDT
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5021348
MEDICA
MN
01
6K50PI
BLUE CROSS MINNESOTA
MN
Enumeration date
02/12/2007
Last updated
08/22/2020
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