Organization
MADELIA HEALTH
Active
Other names
MADELIA COM HOSPITAL INC, MADELIA COMMUNITY HOSPITAL INC HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE TETZLOFF (REVENUE CYCLE MANAGER)
(507) 642-3255
Entity
Organization
Contact information
Practice address
121 DREW AVENUE SE, MADELIA, MN 56062-1841
(507) 642-3255
(507) 642-8516
Mailing address
121 DREW AVENUE SE, MADELIA, MN 56062-1841
(507) 642-3255
(507) 642-8516
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
351876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121652
UCARE PROVIDER NUMBER
MN
01
—
1727AMA
BLUE CROSS PROVIDER NUMBE
MN
05
—
174747900
—
MN
Enumeration date
11/16/2006
Last updated
04/13/2023
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