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NPI 1104902352

OrganizationActive

Moose Lake Community Hospital District

NPI 1104902352 · Critical Access Hospital · Moose Lake, MN

Provider details

NPI number: 1104902352
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Authorized official: Jason Douglas, Chief Executive Officer
License: 330829 (MN)

Practice location

710 S Kenwood Ave

Moose Lake, MN 55767-9405

Phone: (218) 485-4481

Fax: (218) 485-5845

More MN providers

Mailing address

710 S Kenwood Ave

Moose Lake, MN 55767-9405

Registry dates

Enumerated: 2006-10-31
Last updated: 2016-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Moose Lake Community Hospital District — NPI 1104902352, Moose Lake, MN | NPI Central