Organization · Type 2 NPI
Divine Providence Medical Clinic
Critical Access Hospital Clinic/Center · Ivanhoe, MN
NPI number
1972660488
Active
Practice location
312 E George St
Ivanhoe, MN 56142-9707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Clinic/Center Primary | 261QC0050X | 331042 (MN) |
Critical Access Hospital Clinic/Center: 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.
5 other providers at this address
- Avera MarshallFamily Nurse Practitioner Ivanhoe, MN NPI 1902246168
- Avera TylerRural Health Clinic/Center Ivanhoe, MN NPI 1063949089
- Divine Providence Health CenterMedicare Defined Swing Bed Hospital Unit Ivanhoe, MN NPI 1265467526
- Divine Providence Heatlh CenterCritical Access Hospital Ivanhoe, MN NPI 1629014733
- Divine Providence Heatlh Center Inc.Home Health Agency Ivanhoe, MN NPI 1730113234
About NPI 1972660488
Divine Providence Medical Clinic's National Provider Identifier is 1972660488, issued on Jan 3, 2007. The primary taxonomy on file is Critical Access Hospital Clinic/Center (261QC0050X), and the practice location is in Ivanhoe, MN. The record was last updated on Aug 22, 2020.