| Centracare Health-paynesville Llc | |
|
405 Meeker Ave E Eden Valley MN 55329-1629 | |
| (320) 453-2260 | |
| (320) 453-2270 |
| Full Name | Centracare Health-paynesville Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 405 Meeker Ave E, Eden Valley, Minnesota |
| Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare Health-paynesville Llc 200 W 1st St Paynesville MN 56362-1445 Ph: (320) 243-3767 | Centracare Health-paynesville Llc 405 Meeker Ave E Eden Valley MN 55329-1629 Ph: (320) 453-2260 |
| NPI Number | 1700219383 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700219383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |