Organization
CCM HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESI ANSPACH (CFO)
(320) 321-8201
Entity
Organization
Contact information
Practice address
1401 NWAKAMA ST STE 100, MARSHALL, MN 56258-5530
(320) 269-8877
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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