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COUNTY OF BELTRAMI

Ambulatory Health Care Facilities Clinic/Center Public Health, State or Local

Provider NPI: 1043281876

Organization Information:
Organization Name:  COUNTY OF BELTRAMI
Organization is not Subpart
Authorized Official:  CYNTHIA KAYE BORGEN  CHS ADMINISTRATOR  218-333-8116

Practice Location:
616 AMERICA AVENUE NW SUITE 340  BEMIDJI, MN 56601-3873 US
Tel: 218-333-8100  Fax: 218-333-8360

Business Mailing Address:
616 AMERICA AVENUE NW SUITE 340  BEMIDJI, MN 56601-3873 US
Tel: 218-333-8140  Fax: 218-333-8360

NPI Information:
NPI: 1043281876
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP0905XAmbulatory Health Care Facilities
Clinic/Center
Public Health, State or Local

Other Provider Identifiers:

IssuerNumberStateType
567553700MN05
BLUE CROSS BLUE SHIELD8231BEMN01
BLUE CROSS BLUE SHIELD306J5BEMN01
MEDICA8300068MN01



American Medical Association 2012 taxonomy code information

Code: 261QP0905X

Type:

Classification:



Definition:



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