Edgebrook Care Center

LBN: Edgebrook Care Center
Edgebrook Care Center is an health care organization with primary practice located at 505 W Trosky Rd , Edgerton MN 56128-2748. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Edgebrook Care Center can be contacted via phone (507) 442-7121, or through Doughty, John via phone (507) 442-7121.

Contact Information

Primary practice address
505 W Trosky Rd Edgerton MN 56128-2748
Phone: (507) 442-7121
Fax: (507) 442-3952
Website:
Map and Directions
Authorized official contact:
Name: Doughty, John
Phone: (507) 442-7121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1003893447
LBN Legal business name Edgebrook Care Center
DBA Doing business as
Authorized official Doughty, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Dec 28th, 2012 - about 12 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 1003893447 NPPES
Minnesota Other NH0481 UCARE
Minnesota Other 030824003 UCARE
Minnesota Other 7122565 UCARE
Minnesota Other 9508ED UCARE
Minnesota MEDICAID 767842800 UCARE

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