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Organization

PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENT MATTSON (CEO)
(218) 736-8090
Entity
Organization

Contact information

Practice address
1411 HIGHWAY 79 E, ELBOW LAKE, MN 56531-4645
(952) 653-2565
(952) 653-2540
Mailing address
1411 HIGHWAY 79 E, ELBOW LAKE, MN 56531-4645
(218) 685-7300

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
10/18/2019
Last updated
08/19/2024
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