Organization
FIRST CARE MEDICAL SERVICES
Active
Other names
Essentia Health Fosston
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1643EFO
BLUE CROSS SWINGBED
MN
Enumeration date
07/13/2007
Last updated
10/01/2021
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