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Centracare Health - Paynesville Llc

Centracare Health - Paynesville Llc is a health care provider in Paynesville, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 200 W 1st St, Paynesville, MN 56362-1445, US
Practice Location Phone320-243-3767
Practice Location Fax320-243-7519
Legal Business NameCENTRACARE HEALTH - PAYNESVILLE LLC
Other Organization NameCENTRACARE HEALTH - PAYNESVILLE PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1760440846
Entity TypeOrganization
Enumeration Date ? May 1, 2006
Last Update Date ? Jun 15, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Centracare Health - Paynesville Llc

SpecialtySpecializationLicenseLicense State
Pharmacy 365891Minnesota

legacy-id-icon Legacy Provider IDs of Centracare Health - Paynesville Llc

Provider IdIssuer StateIssuer TypeIssuer
03072202705OtherHOSP. PRIMEWEST
300173OtherHOSP. UCARE
1006079OtherHOSP. PREF. ONE
1802HPAOtherHOSP & SWING BED BCBS
C03036Medicare Id-type UnspecifiedCRNA
5003780OtherHOSP. MEDICA
10141401OtherHOSP. HEALTH PARTNERS
24Z349MinnesotaMedicare Oscar/certification
333747200MinnesotaMedicaid
241349MinnesotaMedicare Oscar/certification

official-icon Authorized Official of Centracare Health - Paynesville Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Centracare Health - Paynesville Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Gregory R Klugherz
Authorized Official Title/PositionVICE PRESIDENT AND CFO
Authorized Official Phone Number320-255-5665