DIVINE PROVIDENCE MEDICAL CLINIC

NPI # 

Practice Address:

312 E George St

Ivanhoe, MN, 56142-9707

Practice Phone:

507-694-1414

License Number:

331042

License State:

MN

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Critical Access Hospital

Taxonomy Code:

261QC0050X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1972660488 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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DIVINE PROVIDENCE MEDICAL CLINIC's

CMS CPT® coding data

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DIVINE PROVIDENCE MEDICAL CLINIC's

CMS prescription data

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