COMMUNITY MEMORIAL HOSPITAL ASSOCIATION NPI 1528103652

NPI Information

NPI: 1528103652
Provider Name: COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
Classification: Durable Medical Equipment & Medical Supplies - 332BD1200X
Entity Type: Organization

Specialization: Dialysis Equipment & Supplies

Address:
512 SKYLINE BLVD
CLOQUET, MN
ZIP 55720
Phone: (218) 879-4641
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COMMUNITY MEMORIAL HOSPITAL ASSOCIATION is a dialysis equipment and supplies durable medical equipment medical supplies in Cloquet, MN. COMMUNITY MEMORIAL HOSPITAL ASSOCIATION NPI is 1528103652. The provider is registered as an organization entity type.

The provider's business location address is:

512 SKYLINE BLVD
CLOQUET, MN
ZIP 55720-787
Phone: (218) 879-4641

The provider's authorized official is Richard L. Breuer .
The authorized official title is Ceo and has the following contact phone number (218) 878-7621.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 9/4/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BD1200X	Durable Medical Equipment & Medical Supplies	Dialysis Equipment & Supplies	331457	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0322320001	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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