Clearwater County Memorial Hospital
Organization Active NPI Rural Health Clinic/Center · Clearbrook, MN
NPI 1114998457 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1114998457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CLEARWATER COUNTY MEMORIAL HOSPITAL
- Practice address
- 22 Elm Street NW
Clearbrook, MN 56634 - Phone
- (218) 694-3124
- Fax
- (218) 694-3184
- NPI assigned
- Jan 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Nora C Jennings
- Title
- Admin Secretary
- Phone
- (218) 694-6501
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
22 Elm Street NW
Clearbrook, MN 56634
Mailing address
PO Box 67
Clearbrook, MN 56634-0067
Phone (218) 694-3124
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899605900 | Medicaid | MN |
Other names
- Clearwater Health Services Clinic
Other providers in Clearbrook, MN
- Amy M Beckstrand
- Nancy Campbell
- Clear Waters Life Center
- Clearbrook Dental Clinic, LTD
- Clearbrook-Gonvick Isd #2311
- Roxanne Engebretson
- Sheila Erickson
- Wendy Kay Glass
- Home at Heart Care, Inc.
- June Johnson
All providers in Clearbrook, MN · Rural Health Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.