Organization
CENTRACARE HEALTH-PAYNESVILLE LLC
Active
Other names
CentraCare Health - Paynesville Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
(320) 243-3174
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
(320) 243-3174
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
10/10/2019
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