Interim Healthcare Of Lake Superior, Inc.

LBN: Interim Healthcare Of Lake Superior, Inc.
Interim Healthcare Of Lake Superior, Inc. is an health care organization with primary practice located at 332 W Superior St Suite 204, Duluth MN 55802. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Interim Healthcare Of Lake Superior, Inc. can be contacted via phone (218) 722-0053, or through Jarvi, Kari Jo via phone (218) 722-0053.

Contact Information

Primary practice address
332 W Superior St Suite 204 Duluth MN 55802
Fax: (218) 722-0318
Website:
Authorized official contact:
Name: Jarvi, Kari Jo

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 327241 Minnesota
Agencies / Home Health 251E00000X Minnesota

Profile Details

NPI number 1417950874
LBN Legal business name Interim Healthcare Of Lake Superior, Inc.
DBA Doing business as
Authorized official Jarvi, Kari Jo
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Oct 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 1417950874 NPPES
Minnesota Other 109638 UCARE
Minnesota MEDICAID 41529800 UCARE
Minnesota MEDICAID 96435590 UCARE
Minnesota Other 8569IN UCARE
Minnesota MEDICAID 964355900 UCARE
Minnesota Other 59-00052 UCARE

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