Organization
NORTHERN DIAGNOSTIC SERVICES, INC.
Active
Other names
HEALTHSTAR HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE M FLEMING RN (CHIEF OPERATING OFFICER)
(218) 749-9410
Entity
Organization
Contact information
Practice address
1001 9TH AVE N, VIRGINIA, MN 55792-2279
(218) 749-9410
(218) 749-7940
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 749-9410
(218) 749-7940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
347924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111762
UCARE PROVIDER #
MN
01
—
120018
FIRST PLAN PROVIDER #
MN
01
—
1892A-VI
BLUE CROSS PROVIDER #
MN
05
—
253555600
—
MN
01
—
5000420
PREFERRED ONE PROVIDER #
MN
01
—
5900043
MEDICA PROVIDER #
MN
Enumeration date
05/22/2006
Last updated
07/25/2012
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