Ecumen Lakeshore

LBN: Ecumen
Ecumen Lakeshore is an health care organization with primary practice located at 4002 London Rd , Duluth MN 55804-2243. 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. Ecumen can be contacted via phone (218) 625-7825, or through Lewis, Loretta M via phone (651) 766-4300.

Contact Information

Primary practice address
4002 London Rd Duluth MN 55804-2243
Phone: (218) 625-7825
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Loretta M
Phone: (651) 766-4300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 332007 Minnesota

Profile Details

NPI number 1326162413
LBN Legal business name Ecumen
DBA Doing business as Ecumen Lakeshore
Authorized official Lewis, Loretta M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated May 7th, 2024 - about 6 months 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 1326162413 NPPES
Minnesota Other 8614LA BCBS
Minnesota Other 7122649 BCBS
Minnesota MEDICAID 001043000 BCBS
Minnesota Other NH0212 BCBS

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