Organization
FIRST CARE MEDICAL SERVICES
Active
Organization
FIRST CARE MEDICAL SERVICES
Active
Other names
Essentia Health Fosston
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008426
PREFERRED ONE GROUP #
MN
01
—
2469
HEALTHPARTNERS GROUP #
MN
05
—
381347900
—
MN
01
—
7T834FI
BLUE CROSS NUMBER
MN
Enumeration date
09/14/2006
Last updated
10/01/2021
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