Provider Demographics
NPI:1134115942
Name:ASTERA HEALTH
Entity type:Organization
Organization Name:ASTERA HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEISWENGER
Authorized Official - Suffix:
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:218-631-7501
Mailing Address - Fax:218-924-2257
Practice Address - Street 1:210 1ST ST NW
Practice Address - Street 2:
Practice Address - City:BERTHA
Practice Address - State:MN
Practice Address - Zip Code:56437-1218
Practice Address - Country:US
Practice Address - Phone:218-924-2250
Practice Address - Fax:218-924-2257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN243978Medicare ID - Type Unspecified