Healthcare Provider Details

I. General information

NPI: 1225106537
Provider Name (Legal Business Name): PARKVIEW HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MINNESOTA ST
OSTRANDER MN
55961-4400
US

IV. Provider business mailing address

305 MINNESOTA ST
OSTRANDER MN
55961-4400
US

V. Phone/Fax

Practice location:
  • Phone: 507-657-2231
  • Fax: 507-657-2403
Mailing address:
  • Phone: 507-657-2231
  • Fax: 507-657-2403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GRANT D THAYER
Title or Position: OWNER
Credential:
Phone: 507-657-2231