Organization
PIPESTONE COUNTY MEDICAL CENTER
Active
Other names
AVERA@HOME PIPESTONE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY D BURRIS (ADMINISTRATOR)
(507) 825-5811
Entity
Organization
Contact information
Practice address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5811
(507) 825-5733
Mailing address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5811
(507) 825-5733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326877
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0919415
MEDICAID OF IOWA
MN
01
—
1017039
PREFERRED ONE
MN
05
—
1071520
—
MN
01
—
1811API
BCBS
MN
01
—
21041
HEALTH PARTNERS
MN
01
—
236064
FEDERATED MUTUAL AM PPO
MN
01
—
430081
DAKOTA HEALTH PLAN
MN
01
—
5025427
MEDICA
MN
05
—
521247200
—
MN
01
—
8017039
PREFERRED ONE ADM SERV
MN
01
—
827121632
PRIMEWEST
MN
Enumeration date
09/27/2005
Last updated
09/04/2024
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