Organization
DEER RIVER HEALTHCARE CENTER INC.
Active
Organization
DEER RIVER HEALTHCARE CENTER INC.
Active
Parent organization
DEER RIVER HEALTHCARE CENTER INC
Other names
Community Memorial Hospital of Deer River
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEER RIVER HEALTHCARE CENTER INC
Authorized official
MS. BRENDA K MOOS (REVENUE CYCLE DIRECTOR)
(218) 246-3047
Entity
Organization
Contact information
Practice address
115 10TH AVENUE NE, DEER RIVER, MN 56636-9700
(218) 246-2900
(218) 246-3013
Mailing address
115 10TH AVENUE NE, DEER RIVER, MN 56636-9700
(218) 246-2900
(218) 246-3013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021626
PREFERRED ONE
MN
01
—
1604HCO
BLUE CROSS
MN
01
—
300367
UCARE
MN
01
—
5025365
MEDICA
MN
05
—
618245300
—
MN
Enumeration date
04/17/2007
Last updated
01/24/2012
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