Provider Demographics
NPI:1972496917
Name:APPLETON AREA HEALTH
Entity type:Organization
Organization Name:APPLETON AREA HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:MINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-289-1580
Mailing Address - Street 1:30 S BEHL ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:MN
Mailing Address - Zip Code:56208-1616
Mailing Address - Country:US
Mailing Address - Phone:320-289-2422
Mailing Address - Fax:
Practice Address - Street 1:657 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MN
Practice Address - Zip Code:56244-2104
Practice Address - Country:US
Practice Address - Phone:320-289-1580
Practice Address - Fax:320-289-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center