Organization
COUNTY OF MOWER
Active
Other names
Public Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGENE GUNDERSON PHN (COMMUNITY HEALTH SERVICES DIRECTOR)
(507) 437-9770
Entity
Organization
Contact information
Practice address
1301 18TH AVE NW, SUITE A, AUSTIN, MN 55912-1888
(507) 437-9770
(507) 434-2695
Mailing address
1301 18TH AVE NW, SUITE A, AUSTIN, MN 55912-1888
(507) 437-9770
(507) 434-2695
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
176845300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176485300
MINNESOTA HEALTH CARE PRO
MN
Enumeration date
04/25/2007
Last updated
06/18/2008
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