Organization
PERHAM HOSPITAL DISTRICT
Active
Other names
Perham Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUSTINE ANDERSON (VP OF FINANCE)
(218) 347-1306
Entity
Organization
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-4500
(218) 346-4540
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-4500
(218) 346-4540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1M412ME
BLUE CROSS
MN
01
—
3900652
MEDICA
MN
01
—
455S5PE
BLUE CROSS
MN
Enumeration date
07/28/2006
Last updated
04/24/2018
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