NPI Code Details Logo

NPI 1710564281

NPI 1710564281 : RONALD MCDONALD HOUSE CHARITIES MIDWEST MN, WI, IA : ROCHESTER, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710564281
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RONALD MCDONALD HOUSE CHARITIES MIDWEST MN, WI, IA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/29/2021
-----------------------------------------------------
    Last Update Date     |    11/24/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    850 2ND ST SW 
-----------------------------------------------------
    City                 |    ROCHESTER
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    507-282-3955
-----------------------------------------------------
    Fax                  |    507-252-2160
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    850 2ND ST SW 
-----------------------------------------------------
    City                 |    ROCHESTER
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    507-282-3955
-----------------------------------------------------
    Fax                  |    507-252-2160
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
    Name                 |     NICK  MUELLER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    507-424-3215
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    177F00000X
-----------------------------------------------------
    Taxonomy Name        |    Lodging Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.