Organization
TRI-COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WILLIAM CULLEN MS, ATC (CERTIFIED ATHLETIC TRAINER)
(218) 631-7475
Entity
Organization
Contact information
Practice address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 631-7475
Mailing address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 631-7475
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1566
MN
Other
Enumeration date
05/14/2007
Last updated
01/29/2010
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