OrganizationActive
Divine Providence Medical Clinic
NPI 1972660488 · Critical Access Hospital Clinic/Center · Ivanhoe, MN
Provider details
- NPI number
- 1972660488
- Entity type
- Organization
- Primary specialty
- Critical Access Hospital Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gregory Wilson, Ceo
- License
- 331042 (MN)
Mailing address
312 E George St
Ivanhoe, MN 56142-9707
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.