Healthcare Provider Details

I. General information

NPI: 1275611162
Provider Name (Legal Business Name): THREE LINKS HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FOREST AVE
NORTHFIELD MN
55057-1643
US

IV. Provider business mailing address

815 FOREST AVE
NORTHFIELD MN
55057-1643
US

V. Phone/Fax

Practice location:
  • Phone: 507-664-8800
  • Fax: 507-645-0942
Mailing address:
  • Phone: 507-664-8800
  • Fax: 507-645-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberHFID-00564
License Number StateMN

VIII. Authorized Official

Name: MRS. CAROL A RAW
Title or Position: CEO
Credential:
Phone: 320-589-4917