Organization
KANABEC-PINE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY L. THOMPSON DNP, MPH (CHS ADMINISTRATOR)
(320) 679-6322
Entity
Organization
Contact information
Practice address
905 FOREST AVE E, SUITE 127, MORA, MN 55051-1624
(320) 679-6330
(320) 679-6333
Mailing address
905 FOREST AVE E, SUITE 127, MORA, MN 55051-1624
(320) 679-6330
(320) 679-6333
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
331159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471555100
—
MN
Enumeration date
11/21/2014
Last updated
11/21/2014
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