Organization

Mille Lacs Health System

May also be knows as Mille Lacs Family Health Center

Rural Health Clinic/Center in Isle, MN(View on Map)

Legal Business Name

Mille Lacs Health System

Also Known As

Mille Lacs Family Health Center

NPI Number

1497917587

NPI Type

Organization

Enumeration Date

06/30/2008

Specialties

(Taxonomies)

Code

261QR1300X
111N00000X
163WD0400X
207Q00000X
363AM0700X

Primary Taxonomy

Yes
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

200 ELM ST N
375 W ISLE ST

City

Onamia
Isle

State

MN
MN

Postal Code

56359-7901
56342-2640

Country

US
US

Telephone Number

(320) 532-3154
(320) 676-3661

Authorized Official

Name

Mr. John Unzen

Title or Position

CFO

Telephone Number

(320) 532-2581

Identifiers

Identifier

33523MI
566354700
115807

Identifier State

MN
MN
MN

Identifier Issuer

BLUE CROSS BLUE SHIELD MINNESOTA
Unknown
UCARE MINNESOTA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/13/2013

Provider Address