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Private Healthcare Facilities

Clinic/Center, Birthing in Wanamingo, MN. Organization (NPI-2).

NPI number1801658695
StatusActive
Last updated in NPPESJun 27, 2025

Details

NPI
1801658695
Entity type
Organization (NPI-2)
Legal business name
Private Healthcare Facilities
Organization subpart
Yes
Enumeration date
Jan 26, 2024
Certification date
Jun 27, 2025
Last updated
Jun 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QB0400X Clinic/Center, Birthing––Yes

Practice location

12459 County 11 Blvd
Wanamingo, MN 55983-6610

Phone 866-996-2340

Mailing address

902 Kitty Hawk Rd # 170487
Universal City, TX 78148-3825

Phone 866-996-2340 · Fax 888-329-2091

Authorized official

Priscilla Hollingsworth
Office Staff
8669962340

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