Organization
GRACEVILLE HEALTH CENTER
Active
Parent organization
GRACEVILLE HEALTH CENTER
Other names
Essentia Health - Chokio Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACEVILLE HEALTH CENTER
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
104 MAIN STREET, CHOKIO, MN 56221
(320) 324-7500
(320) 324-7563
Mailing address
PO BOX 157, 115 W 2ND ST, GRACEVILLE, MN 56240-4847
(320) 748-7223
(320) 748-7225
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102823500
—
MN
Enumeration date
03/21/2006
Last updated
02/11/2016
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