Centracare Health - Paynesville Pharmacy

LBN: Centracare Health - Paynesville Llc
Centracare Health - Paynesville Pharmacy is an health care organization with primary practice located at 200 W 1St St , Paynesville MN 56362. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Centracare Health - Paynesville Llc can be contacted via phone (320) 243-3767, or through Blair, Michael A. via phone (320) 255-5665.

Contact Information

Primary practice address
200 W 1St St Paynesville MN 56362
Fax: (320) 243-7519
Website:
Authorized official contact:
Name: Blair, Michael A.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1760440846
LBN Legal business name Centracare Health - Paynesville Llc
DBA Doing business as Centracare Health - Paynesville Pharmacy
Authorized official Blair, Michael A.
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Oct 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760440846 NPPES
Other 300173 HOSP. UCARE
MEDICAID 333747200 HOSP. UCARE
Other 5003780 HOSP. UCARE
Other 10141401 HOSP. UCARE
Other 03072202705 HOSP. UCARE
Other 1006079 HOSP. UCARE
Other 1802HPA HOSP. UCARE

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