Clearwater Health Services Clinic

LBN: Clearwater County Memorial Hospital
Clearwater Health Services Clinic is an health care organization with primary practice located at 22 Elm Street Nw , Clearbrook MN 56634. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Clearwater County Memorial Hospital can be contacted via phone (218) 694-3124, or through Jennings, Nora C via phone (218) 694-6501.

Contact Information

Primary practice address
22 Elm Street Nw Clearbrook MN 56634
Phone: (218) 694-3124
Fax: (218) 694-3184
Website:
Map and Directions
Authorized official contact:
Name: Jennings, Nora C
Phone: (218) 694-6501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1114998457
LBN Legal business name Clearwater County Memorial Hospital
DBA Doing business as Clearwater Health Services Clinic
Authorized official Jennings, Nora C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 17th, 2012 - about 13 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 1114998457 NPPES
Minnesota MEDICAID 899605900

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