Provider Demographics
NPI:1740311109
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:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:W
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:218-631-3510
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?:Yes
Parent Organization LBN:ASTERA HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-08
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
MN0351400001Medicare NSC