Organization
UPPER MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI MILLER (BUSINESS MANAGER)
(218) 751-3280
Entity
Organization
Contact information
Practice address
722 15TH STREET NW, BEMIDJI, MN 56619-0640
(218) 751-3280
Mailing address
722 15TH STREET NW, BEMIDJI, MN 56619-0640
(218) 751-3280
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MN
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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