Organization
CUYUNA REGIONAL MEDICAL CENTER
Active
Other names
Longville Lakes Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BERG (DIRECTOR OF FINANCE)
(218) 546-7000
Entity
Organization
Contact information
Practice address
180 JORDAN LANE, LONGVILLE, MN 56655
(218) 363-3300
(218) 363-2233
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 363-2233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-3872
RHC
MN
05
—
684513400
—
MN
Enumeration date
07/24/2006
Last updated
05/04/2017
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