Ruralbasicshc INC
Clinic/Center, Urgent Care in Wabasha, MN. Organization (NPI-2).
NPI number1982156139
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1982156139
- Entity type
- Organization (NPI-2)
- Legal business name
- Ruralbasicshc INC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2016
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
131 Main St WWabasha, MN 55981-1236
Phone 507-884-0651 · Fax 651-565-4863
Mailing address
131 Main St WWabasha, MN 55981-1236
Phone 507-884-0651 · Fax 651-565-4863
Authorized official
Denay Lynn Kelly
President
5078840651
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