Provider Demographics
NPI:1598860215
Name:COUNTY OF MEEKER
Entity Type:Organization
Organization Name:COUNTY OF MEEKER
Other - Org Name:MEEKER MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-693-4512
Mailing Address - Street 1:612 S SIBLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355-3340
Mailing Address - Country:US
Mailing Address - Phone:320-693-3242
Mailing Address - Fax:320-693-4567
Practice Address - Street 1:612 S SIBLEY AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355-3340
Practice Address - Country:US
Practice Address - Phone:320-693-3242
Practice Address - Fax:320-693-4567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MEEKER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-14
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN21320OtherARAZ
MN030047100Medicaid
FM1006108OtherPREFERRED ONE
MN300200OtherUCARE
MN1387OtherHEALTH PARTNERS
MN1712HMEOtherBLUE CROSS BLUE SHIELD
MN5003920OtherMEDICA
MN3947030OtherSELECT CARE
MN139156600OtherFEDERAL WORK COMP
MN1712HMEOtherBLUE CROSS BLUE SHIELD
24M366Medicare Oscar/Certification
MN139156600OtherFEDERAL WORK COMP