Providence Health Care Services

LBN: Providence Health Care Services
Providence Health Care Services is an health care organization with primary practice located at 781 103Rd Ave Ne , Blaine MN 55434-4507. 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. Providence Health Care Services can be contacted via phone (612) 456-2773, or through Johnson, Tiffany via phone (763) 208-1028.

Contact Information

Primary practice address
781 103Rd Ave Ne Blaine MN 55434-4507
Phone: (612) 456-2773
Fax: (763) 374-4469
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tiffany Registered Nurse (RN)
Phone: (763) 208-1028

Health care specialties

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

Profile Details

NPI number 1457047037
LBN Legal business name Providence Health Care Services
DBA Doing business as
Authorized official Johnson, Tiffany Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about last year

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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