Organization Name: | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION |
NPI Number: | 1003869082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD L BREUER (CEO/ADMINISTRATOR) |
Mailing Address: | 512 Skyline Blvd Cloquet |
State: | MN US |
Postal Code: | 557203787 |
Phone Number: | 2188794641 |
Fax Number: | 2188794641 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 331457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |