County of Renville

NPI #1003214149 in Olivia, Minnesota

Provider Information

NPI Number
1003214149
Entity Type
Organization
Organization Name
County of Renville
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF RENVILLE
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Dec 5, 2014
Last Updated
Feb 13, 2019

Practice Location

Address
100 HEALTHY WAY
City
Olivia
ZIP Code
56277-1117
Phone
(320) 523-3477

Authorized Official

Name
NATHAN BLAD
Title
CEO
Phone
(320) 523-3477

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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Provider Name
County of Renville

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