Organization
MILLE LACS HEALTH SYSTEM
Active
Parent organization
MILLE LACS HEALTH SYSTEM
Other names
Mille Lacs Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS HEALTH SYSTEM
Authorized official
MR. JOHN W UNZEN (CFO)
(320) 532-2581
Entity
Organization
Contact information
Practice address
27378 STATE HIGHWAY 18, GARRISON, MN 56450-2127
(320) 692-5599
(320) 277-3372
Mailing address
200 ELM ST N, PO BOX A, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33523MI
BLUE CROSS BLUE SHIELD MINNESOTA
MN
05
—
340049200
—
MN
Enumeration date
07/03/2008
Last updated
04/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us