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NPI Code Detail

MEDICARE: ECUMEN

MEDICARE: ECUMEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility332007MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18614LAOTHERMNBCBS
27122649OTHERMEDICA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4NH0212OTHERUCARE

General Provider Information

NPI Number : 1326162413
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECUMEN
Provider Business Mailing Address
First Line : 4002 LONDON RD
Second Line :
City : DULUTH
State : MN
Zip : 55804-2243
Country : US
Telephone Number : 218-625-7825
Fax Number :
Provider Business Practice Location Address
First Line : 4002 LONDON RD
Second Line :
City : DULUTH
State : MN
Zip : 55804-2243
Country : US
Telephone Number : 218-625-7825
Fax Number :
Authorized Official
Title or Position : SR. CREDENTIALING SPECIALIST
Name : LORETTA M LEWIS
Credential :
Telephone Number : 651-766-4300
Provider Enumeration Date : 03/16/2007
Last Update Date : 05/07/2024

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Directions to “ECUMEN ” Practice Location

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