Provider Demographics
NPI:1053497214
Name:COUNTY OF MURRAY
Entity Type:Organization
Organization Name:COUNTY OF MURRAY
Other - Org Name:MURRAY COUNTY MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-836-1277
Mailing Address - Street 1:2042 JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:SLAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:56172-1017
Mailing Address - Country:US
Mailing Address - Phone:507-836-1277
Mailing Address - Fax:
Practice Address - Street 1:2042 JUNIPER AVE
Practice Address - Street 2:
Practice Address - City:SLAYTON
Practice Address - State:MN
Practice Address - Zip Code:56172-1017
Practice Address - Country:US
Practice Address - Phone:507-836-1277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN327597282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1011189OtherPERFERRED ONE
MN21429OtherARAZ
SD0127460OtherMA
MN300704OtherUCARE
MN5025393OtherMEDICA
MN1853HMUOtherBCBS
MN51672OtherTRICARE
MN300704OtherUCARE
MNCO3851Medicare Oscar/Certification
MN24Z319Medicare Oscar/Certification