Organization
FIRST CARE MEDICAL SERVICES
Active
Other names
Essentia Health Bagley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
121 CENTRAL ST W, BAGLEY, MN 56621-4393
(218) 694-6281
(218) 694-6283
Mailing address
121 CENTRAL ST W, BAGLEY, MN 56621-4393
(218) 694-6281
(218) 694-6283
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971428600
—
MN
Enumeration date
10/31/2006
Last updated
10/01/2021
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