Organization
PERHAM HOSPITAL DISTRICT
Active
Other names
Perham Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
665 3RD ST SW, PERHAM, MN 56573-1199
(218) 347-1200
(218) 346-4043
Mailing address
665 3RD ST SW, PERHAM, MN 56573-1199
(218) 347-1200
(218) 346-4043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149715400
—
MN
Enumeration date
08/17/2011
Last updated
08/17/2011
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