| Organization Name: | CLEARWATER COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1457321176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORA C. JENNINGS (ADMIN SECRETARY) |
| Mailing Address: | 123 4th St Nw Bagley |
| State: | MN US |
| Postal Code: | 566218306 |
| Phone Number: | 2186942384 |
| Fax Number: | 2186946687 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |