MEDICARE: CAMDEN HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1144538471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMDEN HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	4149 LYNDALE AVE N
Second Line	:	209
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-1703
Country	:	US
Telephone Number	:	612-521-2261
Fax Number	:	612-521-5200

Provider Business Practice Location Address
First Line	:	4149 LYNDALE AVE N
Second Line	:	209
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-1703
Country	:	US
Telephone Number	:	612-521-2261
Fax Number	:	612-521-5200

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRYAN HUTCHISON
Credential	:
Telephone Number	:	612-521-2261

Provider Enumeration Date	:	09/21/2010
Last Update Date	:	09/21/2010

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