| Organization Name: | COUNTY OF KANABEC |
| NPI Number: | 1528031390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY WILLIAM ULSETH (CHEIF EXECUTIVE OFFICER) |
| Mailing Address: | 301 Highway 65 S Mora |
| State: | MN US |
| Postal Code: | 550511899 |
| Phone Number: | 3206791212 |
| Fax Number: | 3202253345 |
| NPI Enumeration Date: | 02/10/2006 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |