Organization
CLEARWATER COUNTY MEMORIAL HOSPITAL
Active
Other names
Clearwater Health Services Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORA C. JENNINGS (ADMIN SECRETARY)
(218) 694-6501
Entity
Organization
Contact information
Practice address
123 4TH ST NW, BAGLEY, MN 56621-8306
(218) 694-2384
(218) 694-6687
Mailing address
123 4TH ST NW, BAGLEY, MN 56621-8306
(218) 694-2384
(218) 694-6687
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879685800
—
MN
Enumeration date
01/25/2006
Last updated
01/27/2012
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