Organization
DOUGLAS COUNTY HOSPITAL
Active
Other names
Alexandria Clinic, 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
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447526330
FACILITY NPI
MN
01
—
240030
FACILITY MEDICARE
MN
01
—
CO9166
MEDICARE PTAN
MN
Enumeration date
03/26/2012
Last updated
09/15/2025
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