Provider Demographics
NPI:1487037560
Name:MIDWEST HEALTH RESOURCES
Entity Type:Organization
Organization Name:MIDWEST HEALTH RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:M B
Authorized Official - Last Name:GAZETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-292-7309
Mailing Address - Street 1:287 125TH ST NE
Mailing Address - Street 2:
Mailing Address - City:RICE
Mailing Address - State:MN
Mailing Address - Zip Code:56367-8652
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:287 125TH ST NE
Practice Address - Street 2:
Practice Address - City:RICE
Practice Address - State:MN
Practice Address - Zip Code:56367-8652
Practice Address - Country:US
Practice Address - Phone:320-292-7309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management