Augustana Mercy Care Center Llc

LBN: Augustana Mercy Care Center Llc
Augustana Mercy Care Center Llc is an health care organization with primary practice located at 710 S Kenwood Ave , Moose Lake MN 55767-9405. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Augustana Mercy Care Center Llc can be contacted via phone (218) 485-4481, or through Stadtherr, Seelochani via phone (952) 855-5041.

Contact Information

Primary practice address
710 S Kenwood Ave Moose Lake MN 55767-9405
Phone: (218) 485-4481
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stadtherr, Seelochani
Phone: (952) 855-5041

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 349655 Minnesota

Profile Details

NPI number 1528384310
LBN Legal business name Augustana Mercy Care Center Llc
DBA Doing business as
Authorized official Stadtherr, Seelochani
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2010
Last updated Oct 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528384310 NPPES
Minnesota MEDICAID 857637200

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