Organization
ELY-BLOOMENSON COMMUNITY HOSPITAL
Active
Parent organization
ELY-BLOOMENSON COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELY-BLOOMENSON COMMUNITY HOSPITAL
Authorized official
PATRICIA J BANKS (QUALITY HEALTH MANAGMENET OFFICER)
(218) 365-8765
Entity
Organization
Contact information
Practice address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-3271
Mailing address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-3271
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
381970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122747500
—
MN
Enumeration date
10/24/2006
Last updated
05/11/2018
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