Centracare Health-Paynesville LLC
Medicare Defined Swing Bed Unit in Paynesville, MN. Organization (NPI-2).
NPI number1457786972
StatusActive
Last updated in NPPESOct 10, 2019
Details
- NPI
- 1457786972
- Entity type
- Organization (NPI-2)
- Legal business name
- Centracare Health-Paynesville LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2013
- Last updated
- Oct 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 275N00000X | Medicare Defined Swing Bed Unit | – | – | Yes |
Other names
- Centracare Health - Paynesville Swingbed (Doing Business As)
Practice location
200 W 1st StPaynesville, MN 56362-1445
Phone 320-243-3767 · Fax 320-243-7955
Mailing address
200 W 1st StPaynesville, MN 56362-1445
Phone 320-243-3767 · Fax 320-243-7955
Authorized official
Michael A. Blair
Sr. Vice President And Cfo
3202555665
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