Healthcare Provider Details

I. General information

NPI: 1669144366
Provider Name (Legal Business Name): COMMUNITY MEMORIAL HOSPITAL & NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 MEMORIAL DRIVE
SPRING VALLEY MN
55975
US

IV. Provider business mailing address

815 MEMORIAL DRIVE
SPRING VALLEY MN
55975
US

V. Phone/Fax

Practice location:
  • Phone: 507-346-1245
  • Fax: 507-346-1191
Mailing address:
  • Phone: 507-346-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOY C HINDT
Title or Position: VICE PRESIDENT OF BUSINESS SERVICES
Credential:
Phone: 507-346-1245