St. William'S Living Center

LBN: St. William'S Living Center
St. William'S Living Center is an health care organization with primary practice located at 212 W Soo St , Parkers Prairie MN 56361-4404. 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. St. William'S Living Center can be contacted via phone (218) 338-4671, or through Kelly, Tim Ray via phone (218) 338-1001.

Contact Information

Primary practice address
212 W Soo St Parkers Prairie MN 56361-4404
Phone: (218) 338-4671
Fax: (218) 338-5917
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Tim Ray
Phone: (218) 338-1001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 335483 Minnesota

Profile Details

NPI number 1538292156
LBN Legal business name St. William'S Living Center
DBA Doing business as
Authorized official Kelly, Tim Ray
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jun 15th, 2021 - about 3 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 1538292156 NPPES
Minnesota MEDICAID 887342900

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