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Divine Providence Medical Clinic
Critical Access Hospital Clinic/Center in Ivanhoe, Minnesota
NPI 1972660488

Divine Providence Medical Clinic is a Critical Access Hospital Clinic/Center based in Ivanhoe, MN and is specialized in Critical Access Hospital. Divine Providence Medical Clinic practices in Ivanhoe, MN. The NPI Number for Divine Providence Medical Clinic is 1972660488 and holds a License No. 331042 (Minnesota).

The current practice location address for Divine Providence Medical Clinic is 312 E George St, Ivanhoe, MN and can be reached out via phone at 507-694-1414.

Location: 312 E George St, Ivanhoe, MN, 56142-9707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972660488
Provider Name
Divine Providence Medical Clinic
Credential
Provider Entity Type
Organization
Address
312 E George St, Ivanhoe, MN, 56142-9707
Phone Number
507-694-1414
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
312 E George St
City
Ivanhoe
State
Minnesota
Zip
56142-9707
Phone Number
507-694-1414
Fax Number
person
Provider Business Mailing Address Details
Address
312 E George St
City
Ivanhoe
State
Minnesota
Zip
56142-9707
Phone Number
507-694-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Critical Access Hospital
Taxonomy
261QC0050X
License No.
331042 (Minnesota)
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
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