Msocs-Moose Lake

LBN: Msocs-Moose Lake
Msocs-Moose Lake is an health care organization with primary practice located at 305 4Th St , Moose Lake MN 55767. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Msocs-Moose Lake can be contacted via phone (218) 485-4634, or through Deneen, Roger via phone (651) 582-1857.

Contact Information

Primary practice address
305 4Th St Moose Lake MN 55767
Phone: (218) 485-4634
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deneen, Roger
Phone: (651) 582-1857

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1205909991
LBN Legal business name Msocs-Moose Lake
DBA Doing business as
Authorized official Deneen, Roger
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jun 18th, 2008 - about 16 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 1205909991 NPPES
Minnesota MEDICAID 303745200

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