Moose Lake Community Hospital District
NPI #1023187218 in Moose Lake, Minnesota
Provider Information
- NPI Number
- 1023187218
- Entity Type
- Organization
- Organization Name
- Moose Lake Community Hospital District
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 710 S KENWOOD AVE
- City
- Moose Lake
- State
- Minnesota
- ZIP Code
- 55767-9405
- Phone
- (218) 485-4481
Authorized Official
- Name
- JASON DOUGLAS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (218) 485-5858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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