Organization
CCM HEALTH
Active
Other names
Chippewa County Montevideo Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DESERAE ANSPACH (CFO)
(320) 269-8877
Entity
Organization
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265
(320) 269-8877
(320) 269-8186
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 269-8186
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
MN
282NC0060X
Critical Access Hospital
Primary
327693
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855345900
—
MN
Enumeration date
07/11/2005
Last updated
01/19/2023
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