Organization
PIPESTONE COUNTY MEDICAL CENTER
Active
Other names
AVERA@HOME PIPESTONE
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY D BURRIS (ADMINISTRATOR/CEO)
(507) 825-6025
Entity
Organization
Contact information
Practice address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5811
Mailing address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
330931
MN
315D00000X
Inpatient Hospice
330931
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048848
PREFERREDONE
MN
05
—
207922400
—
MN
01
—
2U71PI
BLUE CROSS
MN
Enumeration date
08/22/2006
Last updated
09/04/2024
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