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Organization

PERHAM HOSPITAL DISTRICT

Active
Other names
Perham Living Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUSTINE ANDERSON (VP OF FINANCE)
(218) 347-1306
Entity
Organization

Contact information

Practice address
735 3RD STREET SW, PERHAM, MN 56573-1108
(218) 347-1880
(218) 347-1885
Mailing address
735 3RD STREET SW, PERHAM, MN 56573-1108
(218) 347-1880
(218) 347-1885

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HFID - 03870
MN
261QA0600X
Adult Day Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1808
BLUE CROSS/BLUE SHIELD
MN
05
211047400
MN
01
60-13038
MEDICA
MN
Enumeration date
10/03/2005
Last updated
01/27/2022
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