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Mr. Charles Edward Mccalip
Lodging Provider in Bemidji, Minnesota
NPI 1912166570

Charles Edward Mccalip is a Lodging Provider based in Bemidji, MN. Charles Edward Mccalip practices in Bemidji, MN. The NPI Number for Charles Edward Mccalip is 1912166570 and holds a License No. 214201-2-AFC (Minnesota).

The current practice location address for Charles Edward Mccalip is 50807 County 3, Bemidji, MN and can be reached out via phone at 218-751-2711.

Location: 50807 County 3, Bemidji, MN, 56601-9616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912166570
Provider Name
Charles Edward Mccalip
Credential
Provider Entity Type
Individual
Gender
Male
Address
50807 County 3, Bemidji, MN, 56601-9616
Phone Number
218-751-2711
Fax Number
Provider Enumeration Date
06/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
722222000 01 MN ADULT FOSTER CARE LICENSE
institution
Provider Business Practice Location Address Details
Address
50807 County 3
City
Bemidji
State
Minnesota
Zip
56601-9616
Phone Number
218-751-2711
Fax Number
person
Provider Business Mailing Address Details
Address
50807 County 3
City
Bemidji
State
Minnesota
Zip
56601-9616
Phone Number
218-751-2711
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
214201-2-AFC (Minnesota)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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