- Enrollment id
- O20030523000051
- Enrollment state
- MN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821084658
- Multiple npi flag
- N
- Ccn
- 247049
- Associate id
- 0840109682
- Organization name
- PIPESTONE COUNTY MEDICAL CENTER
- Doing business as name
- AVERA@HOME PIPESTONE
- Organization type structure
- OTHER
- Organization other type text
- 411392082
- Proprietary nonprofit
- N
- Address line 1
- 916 4TH AVE SW
- City
- PIPESTONE
- State
- MN
- Zip code
- 561641890