Organization
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Active
Parent organization
HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
Other names
Ivanhoe Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MR. JEFF GOLLAHER (CEO)
(507) 275-3134
Entity
Organization
Contact information
Practice address
315 N NORMAN ST, IVANHOE, MN 56142-9580
(507) 694-1100
Mailing address
503 E LINCOLN ST, PO BOX 106, HENDRICKS, MN 56136-9598
(507) 275-3134
(507) 275-2242
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243457
MEDICARE PROVIDER NUMBER
—
Enumeration date
03/29/2011
Last updated
09/04/2014
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