Organization
COUNTY OF MOWER
Active
Other names
Public Health Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGENE GUNDERSON PHN (COMMUNITY HEALTH SERVICES DIRECTOR)
(507) 437-9770
Entity
Organization
Contact information
Practice address
1301 18TH AVE NW, SUITE A, AUSTIN, MN 55912-1888
(507) 437-9770
(507) 434-2695
Mailing address
1301 18TH AVE NW, SUITE A, AUSTIN, MN 55912-1888
(507) 437-9770
(507) 434-2695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
328306
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121362
UCARE MINNESOTA
MN
01
—
76794MO
BLUE CROSS/BLUE SHIELD
MN
01
—
8253MO
BLUE CROSS/BLUE SHIELD
MN
01
—
929853300
METROPOLITAN HEALTH PLAN
MN
05
—
929853300
—
MN
Enumeration date
07/07/2005
Last updated
06/30/2008
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