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Hendricks Community Hospital Association

Organization Active NPI Non-emergency Medical Transport (VAN) · Hendricks, MN

NPI 1205912284 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1205912284
Entity type
Organization (NPI type 2)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
330907 (MN)
Legal business name
HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
Practice address
503 East Lincoln Street
Hendricks, MN 56136-0106
Phone
(507) 275-3134
Fax
(507) 275-2242
NPI assigned
Oct 31, 2006
Organization subpart
No

Authorized official

Name
Jeff Gollaher
Title
Ceo
Phone
(507) 275-3134

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
White Family Practice C (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 330907 MN Yes

Addresses

Primary practice location

503 East Lincoln Street
Hendricks, MN 56136-0106

Mailing address

PO Box 106
Hendricks, MN 56136-0106
Phone (507) 275-3134

Other identifiers

IdentifierTypeStateIssuer
9030470MedicaidSD

Other providers in Hendricks, MN

All providers in Hendricks, MN · Non-emergency Medical Transport (VAN) in Minnesota

Sources for this page

Verify at the official NPI Registry.