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NPI Code Detail

MEDICARE: AMERICAN BAPTIST HOMES OF THE MIDWEST

MEDICARE: AMERICAN BAPTIST HOMES OF THE MIDWEST
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
1314000000XSkilled Nursing FacilityMN

General Provider Information

NPI Number : 1477541282
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN BAPTIST HOMES OF THE MIDWEST
Provider Business Mailing Address
First Line : 512 49TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3621
Country : US
Telephone Number : 612-529-7747
Fax Number : 612-529-5643
Provider Business Practice Location Address
First Line : 512 49TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3621
Country : US
Telephone Number : 612-529-7747
Fax Number : 612-529-5643
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : DEBORAH A KOTCHER
Credential :
Telephone Number : 952-253-1485
Provider Enumeration Date : 10/06/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

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1699142372 — 512 49TH AVENUE NORTH, LLC
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1215489448 — JENNIFER REQUEJO DPT
Practice Location Address:
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Directions to “AMERICAN BAPTIST HOMES OF THE MIDWEST ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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