Minnesota Odd Fellows Home

LBN: Minnesota Odd Fellows Home
Minnesota Odd Fellows Home is an health care organization with primary practice located at 815 Forest Ave , Northfield MN 55057-1643. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Minnesota Odd Fellows Home can be contacted via phone (507) 664-8865, or through Pizinger, Gerald via phone (507) 664-8800.

Contact Information

Primary practice address
815 Forest Ave Northfield MN 55057-1643
Phone: (507) 664-8865
Fax: (507) 650-9227
Website:
Map and Directions
Authorized official contact:
Name: Pizinger, Gerald
Phone: (507) 664-8800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1447801303
LBN Legal business name Minnesota Odd Fellows Home
DBA Doing business as
Authorized official Pizinger, Gerald
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 23rd, 2019
Last updated Sep 23rd, 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 1447801303 NPPES
Minnesota MEDICAID A315442300

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