Organization Name: | PINE MEDICAL CENTER |
NPI Number: | 1326041633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL DENIS HEDRIX (PRESIDENT/ADMINISTRATOR) |
Mailing Address: | 109 Court Ave S Sandstone |
State: | MN US |
Postal Code: | 550725120 |
Phone Number: | 3202452212 |
Fax Number: | 3202453251 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 10/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 361349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |