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Organization

NORTHERN ITASCA HOSPITAL DISTRICT

Active
Other names
Bigfork Valley Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAROLD DANIEL ODEGAARD (CEO)
(218) 743-3177
Entity
Organization

Contact information

Practice address
258 PINE TREE DRIVE, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Mailing address
258 PINE TREE DRIVE, P.O. BOX 258, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330555
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018500
PREFERRED ONE
MN
01
1547ANO
BLUE CROSS
MN
01
2257
HEALTH PARTNERS
MN
01
300410
UCARE
MN
01
361259
HOSPICE
MN
01
5900075
MEDICA CHOICE
MN
01
98592
ARAZ
MN
Enumeration date
06/16/2006
Last updated
08/22/2020
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