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General NPI Number Information
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NPI Number | 1205884004
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Entity Type | Organization
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Legal Business Name | AUGUSTANA HEALTH CARE CENTER OF HASTINGS
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 930 16TH ST W
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City | HASTINGS
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State | MN
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Zip | 55033-3335
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Country | US
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Telephone | 651-480-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 930 16TH ST W
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City | HASTINGS
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State | MN
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Zip | 55033-3335
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Country | US
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Telephone | 651-437-6176
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | SEELOCHANI STADTHERR
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Credential |
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Telephone | 952-855-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 326933
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License Number State | MN
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