Hendricks Community Hospital Association

Organization Active NPI Durable Medical Equipment & Medical Supplies · Hendricks, MN

NPI 1255417119 · NPPES record last updated Mar 7, 2011

Key facts

NPI
1255417119
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
333819 (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
Durable Medical Equipment & Medical Supplies 332B00000X 333819 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 providers in Hendricks, MN

All providers in Hendricks, MN · Durable Medical Equipment & Medical Supplies in Minnesota

Sources for this page

Verify at the official NPI Registry.