The Evergreens Of Moorhead

LBN: Ecumen
The Evergreens Of Moorhead is an health care organization with primary practice located at 512 3Rd Ave S , Moorhead MN 56560-2703. 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. Ecumen can be contacted via phone (218) 233-1535, or through Kendrick, Shelley L via phone (651) 766-4300.

Contact Information

Primary practice address
512 3Rd Ave S Moorhead MN 56560-2703
Phone: (218) 233-1535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kendrick, Shelley L
Phone: (651) 766-4300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 334113 Minnesota

Profile Details

NPI number 1588878086
LBN Legal business name Ecumen
DBA Doing business as The Evergreens Of Moorhead
Authorized official Kendrick, Shelley L
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Mar 8th, 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 1588878086 NPPES
Minnesota MEDICAID 457469900

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