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
10338271DS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111165
UCARE DETOX
MN
01
—
4C59PI
BC BS MINNESOTA DETOX
MN
01
—
50-21348
MEDICA DETOX
MN
Enumeration date
02/12/2007
Last updated
08/22/2020
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