1952555146 NPI number — COUNTY OF MEEKER

Table of content: (NPI 1952555146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952555146 NPI number — COUNTY OF MEEKER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MEEKER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MEEKER MEMORIAL HOSPITAL & CLINICS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952555146
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
612 S SIBLEY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITCHFIELD
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55355-3340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-693-4500
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
740 PARKER AVE W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DASSEL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55325-1024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-275-4330
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SIEGNER
Authorized Official First Name:
NICOLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
320-693-4512

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 030047100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 122N4ME . This is a "BLUE CROSS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 300200 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 5003920 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 1006108 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 1387 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 3947030 . This is a "SELECT CARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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