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Organization

MILLE LACS HEALTH SYSTEM

Active
Parent organization
MILLE LACS HEALTH SYSTEM
Other names
Critical Access Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILLE LACS HEALTH SYSTEM
Authorized official
MR. JOHN W UNZEN (CFO)
(320) 532-2581
Entity
Organization

Contact information

Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM ST N, PO BOX A, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
208600000X
Surgery Physician
251E00000X
Home Health Agency
343531
MN
282NC0060X
Critical Access Hospital
Primary
331503
MN
3336I0012X
Institutional Pharmacy
201047-0
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1006091
PREFERRED ONE
MN
05
190247400
MN
01
33523MI
BLUE CROSS CLINICS
MN
01
5012782
MEDICA
MN
01
52204CO
BLUE CROSS HOSPITAL
MN
Enumeration date
05/17/2006
Last updated
04/26/2017
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