Provider Demographics
NPI:1477545333
Name:ASTERA HEALTH
Entity Type:Organization
Organization Name:ASTERA HEALTH
Other - Org Name:TRI- COUNTY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:BEISWENGER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:218-631-7489
Mailing Address - Street 1:415 JEFFERSON ST N
Mailing Address - Street 2:
Mailing Address - City:WADENA
Mailing Address - State:MN
Mailing Address - Zip Code:56482-1264
Mailing Address - Country:US
Mailing Address - Phone:218-631-3510
Mailing Address - Fax:218-631-7511
Practice Address - Street 1:421 11TH ST NW
Practice Address - Street 2:
Practice Address - City:WADENA
Practice Address - State:MN
Practice Address - Zip Code:56482-1044
Practice Address - Country:US
Practice Address - Phone:218-631-3510
Practice Address - Fax:218-631-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN328194282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN85280TROtherBLUE CROSS BLUE SHIELD MN
MN1901HTROtherBLUE CROSS BLUE SHIELD MN
MN754347600Medicaid
MN24Z354Medicare Oscar/Certification
MN754347600Medicaid