Organization Name: | MILLE LACS HEALTH SYSTEM |
NPI Number: | 1265695761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W UNZEN (CFO) |
Mailing Address: | 200 Elm St N Onamia |
State: | MN US |
Postal Code: | 563597901 |
Phone Number: | 3205322415 |
Fax Number: | 3205322457 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 338684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |