Divine Providence Medical Clinic in Ivanhoe - Critical Access Hospital
Divine Providence Medical Clinic - NPI 1972660488
Divine Providence Medical Clinic is a Critical Access Hospital in Ivanhoe, Minnesota. Divine Providence Medical Clinic practices all healthcare services and medical treatments related to Critical Access Hospital. The NPI Number for Divine Providence Medical Clinic is 1972660488. The last update date is 2020-08-22.
Divine Providence Medical Clinic's current location address is 312 E George St, Ivanhoe, Minnesota. You can contact this provider via phone number 5076941414. The mailing address for Divine Providence Medical Clinic is 312 E George St, Ivanhoe, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Medical Clinic |
|---|---|
| Address | 312 E George St, Ivanhoe, Minnesota |
| Phone Number | 5076941414 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Wilson Gregory |
| Telephone Number | 5076941414 |
NPI Number Detail
| NPI Number | 1972660488 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 312 E George St |
|---|---|
| City | Ivanhoe |
| State | Minnesota (MN) |
| Post Code | 561429707 |
| Phone Number | 5076941414 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access Hospital |
|---|---|
| Taxonomy | 261Qc0050X |
| Licence No | 331042 |
|
Definition: An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Divine Providence Medical Clinic by the Centers for Medicare & Medicaid Services?
The Divine Providence Medical Clinic has been assigned the NPI (National Provider Identifier) 1972660488. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Divine Providence Medical Clinic's physical address?
The Divine Providence Medical Clinic is physically located at 312 E George St, in the city of Ivanhoe, MN, with the postal code 561429707.
What is Divine Providence Medical Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Divine Providence Medical Clinic is Critical Access Hospital, and the taxonomy code that categorizes this field of expertise is 261Qc0050X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972660488 to Divine Providence Medical Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1972660488 to Divine Providence Medical Clinic on 2007-01-03.
When was the information regarding Divine Providence Medical Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Divine Providence Medical Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA