NPI 1235395351

Northwoods Cottage INC.

Organisation Preferred Provider Organization Bagley, MN

Practice location

Address: 1101 Patricia Ln NW, Bagley, MN 56621-8143
Phone: (218) 694-4000

Authorised official

Name: Janet Rene Haugen
Title: Executive Director
Phone: (218) 694-4000

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 305R00000X (MN)

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Registry record

NPI: 1235395351
Entity type: Organization
NPI issued: 29 Jul 2008
Record last updated: 29 Jul 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.