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)Name
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