Organization
MILLE LACS HEALTH SYSTEM
Active
Parent organization
MILLE LACS HEALTH SYSTEM
Other names
Mille Lacs Home Care
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) 888-4127
(320) 532-4325
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
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
339184
MN
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123281
UCARE MINNESOTA
MN
01
—
1787ACO
BLUE CROSS BLUE SHIELD MINNESOTA
MN
05
—
190247400
—
MN
01
—
5900066
MEDICA
MN
Enumeration date
07/02/2008
Last updated
03/21/2016
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