Good Shepherd Lutheran Home Of Sauk Rapids, Minnesota

LBN: Good Shepherd Lutheran Home Of Sauk Rapids, Minnesota
Good Shepherd Lutheran Home Of Sauk Rapids, Minnesota is an health care organization with primary practice located at 1115 4Th Ave N , Sauk Rapids MN 56379-2201. 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. Good Shepherd Lutheran Home Of Sauk Rapids, Minnesota can be contacted via phone (320) 252-6525, or through Glanzer, Bruce Allen via phone (320) 252-6525.

Contact Information

Primary practice address
1115 4Th Ave N Sauk Rapids MN 56379-2201
Fax: (320) 259-3463
Website:
Authorized official contact:
Name: Glanzer, Bruce Allen

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 331907 Minnesota

Profile Details

NPI number 1952332975
LBN Legal business name Good Shepherd Lutheran Home Of Sauk Rapids, Minnesota
DBA Doing business as
Authorized official Glanzer, Bruce Allen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Dec 17th, 2010 - about 14 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 1952332975 NPPES
Minnesota MEDICAID 686240300

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