Organization
LONGVILLE LAKES CLINIC, INC.
Active
Other names
Cuyuna Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BERG (CFO)
(218) 546-7000
Entity
Organization
Contact information
Practice address
13205 ISLE DRIVE, BAXTER, MN 56425
(218) 546-7000
(218) 546-4645
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4645
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
01/04/2022
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