| Centracare Health System-nr Llc | |
|
1013 Hart Blvd Monticello MN 55362-8575 | |
| (763) 295-2945 | |
| (763) 271-2299 |
| Full Name | Centracare Health System-nr Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1013 Hart Blvd, Monticello, Minnesota |
| Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare Health System-nr Llc 1013 Hart Blvd Monticello MN 55362-8575 Ph: (763) 295-2945 | Centracare Health System-nr Llc 1013 Hart Blvd Monticello MN 55362-8575 Ph: (763) 295-2945 |
| NPI Number | 1003353202 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 10/10/2019 |
| Medicare PECOS PAC ID | 3870739410 |
|---|---|
| Medicare Enrollment ID | O20170615000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003353202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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