Organization
GOPHER TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN ZELLER (CEO)
(507) 334-1983
Entity
Organization
Contact information
Practice address
329 FARIBAULT RD, FARIBAULT, MN 55021-5780
(507) 334-1983
(507) 333-2307
Mailing address
329 FARIBAULT RD, P.O. BOX 481, FARIBAULT, MN 55021-5780
(507) 334-1983
(507) 333-2307
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116910
UCARE
MN
01
—
13Q51CE
BHSI
MN
05
—
19551-00
—
MN
01
—
37437
HEALTH PARTNERS
MN
01
—
8446902
MEDICA (UBH)
MN
Enumeration date
09/26/2006
Last updated
08/22/2020
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