Campus A/L

LBN: Minnesota Odd Fellows Home
Campus A/L 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 Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Minnesota Odd Fellows Home can be contacted via phone (507) 664-8800, or through Raw, Carol A via phone (320) 589-4917.

Contact Information

Primary practice address
815 Forest Ave Northfield MN 55057-1643
Phone: (507) 664-8800
Fax: (507) 645-0942
Website:
Map and Directions
Authorized official contact:
Name: Raw, Carol A
Phone: (320) 589-4917

Health care specialties

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

Profile Details

NPI number 1740350792
LBN Legal business name Minnesota Odd Fellows Home
DBA Doing business as Campus A/L
Authorized official Raw, Carol A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jan 19th, 2024 - about 11 months 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 1740350792 NPPES
Minnesota MEDICAID 770343100

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