Organization
MONTICELLO-BIG LAKE HOSPITAL
Active
Other names
New River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY C FRIESEN (CFO)
(763) 271-2303
Entity
Organization
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2306
(763) 271-2421
Mailing address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2306
(763) 271-2421
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155047100
—
MN
01
—
1598902470
MEDICARE OSCAR IP REHAB 24-R3262
MN
Enumeration date
01/14/2009
Last updated
12/05/2012
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