Organization
MONTICELLO-BIG LAKE COMMUNITY HOSPITAL
Active
Other names
New River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA PAWELK (DIRECTOR OF BUSINESS OFFICE)
(763) 271-2306
Entity
Organization
Contact information
Practice address
1104 E RIVER ST, MONTICELLO, MN 55362-8762
(763) 295-5116
Mailing address
1104 E RIVER ST, MONTICELLO, MN 55362-8762
(763) 295-5116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328129
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053843400
—
MN
Enumeration date
08/24/2005
Last updated
07/28/2009
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