Organization
DOUGLAS COUNTY HOSPITAL
Active
Other names
Heartland Orthopedic Specialists, a Service of Alomere Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL P VAAGENES (ADMINISTRATOR)
(320) 762-6021
Entity
Organization
Contact information
Practice address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-5274
(320) 762-1144
(320) 762-1935
Mailing address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-5274
(320) 762-1144
(320) 762-1935
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427342138
—
MN
01
—
564
LICENSE
MN
01
—
C05876
MEDICARE PTAN
MN
01
—
DS7370
RAILROAD MEDICARE
MN
Enumeration date
05/31/2011
Last updated
09/15/2025
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