Organization Name: | PAYNESVILLE AREA HOSPITAL DISTRICT |
NPI Number: | 1639137987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOBBE TEIGEN (CEO) |
Mailing Address: | 645 Lake Ave S Paynesville |
State: | MN US |
Postal Code: | 563621736 |
Phone Number: | 3202433000 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 03/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |