TIMOTH Y J. PETERSON – NPI #1174668081
General Acute Care Hospital

TIMOTH Y PETERSON is a general acute care hospital located in BRECKENRIDGE, MN. NPPES has assigned the NPI number 1174668081 to TIMOTH Y PETERSON on February 20, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTH Y PETERSON below.

NPI Profile for
TIMOTH Y J. PETERSON

NPI Number
1174668081
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTH Y J. PETERSON
Primary location
ST. FRANCIS HEALTHCARE CAMPUS
2400 ST. FRANCIS DRIVE
BRECKENRIDGE, MN 56520
Phone: (218) 643-0345 Fax: (218) 643-0853
Mailing address
213 E CECIL AVE
FERGUS FALLS, MN 56537-1416
Phone: (218) 736-3507 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
MN 102006

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.