Baker Park

LBN: Baker Park
Baker Park is an health care organization with primary practice located at 1000 Anne St Nw , Bemidji MN 56601-5109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Baker Park can be contacted via phone (218) 751-0220, or through Bergquist, Jon F via phone (218) 333-5514.

Contact Information

Primary practice address
1000 Anne St Nw Bemidji MN 56601-5109
Phone: (218) 751-0220
Fax: (218) 333-6514
Website:
Map and Directions
Authorized official contact:
Name: Bergquist, Jon F
Phone: (218) 333-5514

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 349267 Minnesota

Profile Details

NPI number 1073897641
LBN Legal business name Baker Park
DBA Doing business as
Authorized official Bergquist, Jon F
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2011
Last updated Apr 23rd, 2013 - about 11 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 1073897641 NPPES
Minnesota MEDICAID 106240900

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