Whalio Doctors

NPI 1104098672

Tri-Valley Opportunity Council

Organisation Public Health or Welfare Agency Crookston, MN

Practice location

Address
102 N Broadway, Crookston, MN 56716-1731
Phone
(218) 281-5832
Fax
(218) 281-6676
Mailing address
PO Box 607, Crookston, MN 56716-0607

Authorised official

Name
Cynthia E Boudreaux
Title
Health Services Manager
Phone
(218) 281-5832

Registered specialties

Public Health or Welfare Agency Primary
Agencies Taxonomy 251K00000X Licence R137745-7 (MN)

Registry record

NPI
1104098672
Entity type
Organization
NPI issued
25 Mar 2008
Record last updated
25 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.