Active NPI
Douglas County Hospital
- Otolaryngology/Facial Plastic Surgery Physician
- Alexandria, MN
National Provider Identifier
1861046971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- DOUGLAS COUNTY HOSPITAL
- Practice address
- 111 17TH Ave E Ste 1
Alexandria, MN 56308-5273 - Phone
- (320) 759-4326
- Fax
- (320) 759-4327
- NPI assigned
- Jul 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl P Vaagenes
- Title
- Administrator
- Phone
- (320) 762-6021
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary | ||
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
111 17TH Ave E Ste 1
Alexandria, MN 56308-5273
Mailing address
111 17TH Ave E Ste 1
Alexandria, MN 56308-0057
Phone (320) 759-4326
Other names 1
- Lakes Ent, a Service of Alomere Health
National Provider Directory
National Provider DirectoryLocations
4152 30th Ave S
Ste 103B
Fargo, ND 58104
Phone (701) 356-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1861046971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 17TH AVE E STE 1",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563080057",
"telephone_number": "320-759-4326",
"fax_number": "320-759-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 17TH AVE E STE 1",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085273",
"telephone_number": "320-759-4326",
"fax_number": "320-759-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-26",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "VAAGENES",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "320-762-6021"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakes Ent, a Service of Alomere Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lakes Ent, a Service of Alomere Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.