Organization
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GOLLAHER (CEO)
(507) 275-3134
Entity
Organization
Contact information
Practice address
503 EAST LINCOLN ST, HENDRICKS, MN 56136-0106
(507) 275-3134
(507) 275-2242
Mailing address
PO BOX 106, HENDRICKS, MN 56136-0106
(507) 275-3134
(507) 275-2242
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330938
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800020400
—
MN
Enumeration date
11/01/2006
Last updated
02/03/2012
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