Chippewa County Montevideo Hospital Dmerc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHIPPEWA COUNTY MONTEVIDEO HOSPITAL DMERC

Practice address

824 N 11TH St
Montevideo, MN 56265-1629

Phone

(320) 269-8877

NPI assigned

Apr 26, 2007

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Paulson

Title

Administrator

Phone

(320) 269-8877

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1639399041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA COUNTY MONTEVIDEO HOSPITAL DMERC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-269-8877"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCM Health (Chippewa County Montevideo Hospital Swing Bed)
• CCM Health
• CCM Health
• Chippewa County Family Service
• Chippewa County Ind School Dist 129
• Chiropractic Associates
• Paige Lynn Clausen
• Jill Condon
• Joshua David Cottle, LMT
• Country Living Management Company

• Durable Medical Equipment & Medical Supplies in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.