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Organization

MAHNOMEN HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI GUENTHER (CFO)
(218) 935-9401
Entity
Organization

Contact information

Practice address
414 W JEFFERSON AVE, MAHNOMEN, MN 56557-4912
(218) 935-2511
(218) 935-2370
Mailing address
414 W JEFFERSON AVE, MAHNOMEN, MN 56557-4912
(218) 935-2511
(218) 935-2370

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
372204
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C16NMA
BCBS
MN
01
7100426
MEDICA
MN
05
739745302
MN
Enumeration date
07/11/2006
Last updated
08/31/2023
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