Organization
RUM RIVER HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JENSEN M.D. (MEDICAL DIRECTOR)
(763) 389-5080
Entity
Organization
Contact information
Practice address
1506 1ST ST, PRINCETON, MN 55371-1462
(763) 389-5080
(763) 389-5453
Mailing address
101 18TH AVE N, PRINCETON, MN 55371-4756
(763) 389-5080
(763) 631-9117
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
979615100
—
MN
Enumeration date
12/19/2006
Last updated
07/18/2012
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