Organization
SPECTRUM COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER POTTER (VICE PRESIDENT OF OPERATIONS)
(218) 927-2164
Entity
Organization
Contact information
Practice address
418 9TH ST S, VIRGINIA, MN 55792-2838
(218) 741-3013
Mailing address
850 2ND ST NW, AITKIN, MN 56431-1140
(218) 260-2301
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
334658
MN
310400000X
Assisted Living Facility
313695
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109875
UCARE
MN
01
—
120015
FIRST PLAN
MN
01
—
151101
PRIME WEST
MN
01
—
5900095
MEDICA - DULUTH
MN
01
—
5900096
MEDICA - FAIRIBAULT
MN
01
—
5900097
MEDICA - GRAND RAPIDS
MN
01
—
5900098
MEDICA - WILLMAR
MN
01
—
5900099
MEDICA - ROCHESTER
MN
01
—
5900100
MEDICA - MINNEAPOLIS
MN
01
—
5900101
MEDICA - EVELETH
MN
05
—
751355100
—
MN
01
—
8X73SP
BCBS
MN
Enumeration date
11/16/2006
Last updated
09/04/2025
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