Pelican Valley Health Center

LBN: Pelican Valley Health Center
Pelican Valley Health Center is an health care organization with primary practice located at 211 E Mill Street , Pelican Rapids MN 56572-0645. 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. Pelican Valley Health Center can be contacted via phone (218) 863-2991, or through Bratlien, Richard Kenneth via phone (218) 842-5106.

Contact Information

Primary practice address
211 E Mill Street Pelican Rapids MN 56572-0645
Fax: (218) 863-5255
Website:
Authorized official contact:
Name: Bratlien, Richard Kenneth

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 331787 Minnesota

Profile Details

NPI number 1801819636
LBN Legal business name Pelican Valley Health Center
DBA Doing business as
Authorized official Bratlien, Richard Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1801819636 NPPES
Minnesota Other 7150033 MEDICA
Minnesota MEDICAID 30326 MEDICA
Minnesota MEDICAID 537342500 MEDICA
Minnesota Other 8979PE MEDICA
Minnesota Other NH0312 MEDICA

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