Clearwater Cnty Mem Hosp Phcy
LBN: Clearwater Cnty Mem Hosp Phcy
Clearwater Cnty Mem Hosp Phcy is an health care organization with primary practice located at 203 4Th St Nw , Bagley MN 56621-8305. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Clearwater Cnty Mem Hosp Phcy can be contacted via phone (218) 694-6501, or through Bergquist, Barbara via phone (218) 694-6501.
Contact Information
Primary practice address
203 4Th St Nw
Bagley MN 56621-8305
Phone: (218) 694-6501
Fax: (218) 694-2185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 2057721 | Minnesota |
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1558397232 |
|---|---|
| LBN Legal business name | Clearwater Cnty Mem Hosp Phcy |
| DBA Doing business as | |
| Authorized official | Bergquist, Barbara RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558397232 | NPPES |
| Other | 2414681 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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