| Organization Name: | CLEARWATER COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1295859411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORA JENNINGS (ADMINISTRATIVE SECRETARY) |
| Mailing Address: | 203 4th St. N.w. Bagley |
| State: | MN US |
| Postal Code: | 56621 |
| Phone Number: | 2186946501 |
| Fax Number: | 2816943592 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 334510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |