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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 Facility332717MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1411768508OTHERMNST MARY HOSPICE
290160OTHERMNVA
37122550OTHERMNMEDICA
4NH0506OTHERMNUCARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6411768508OTHERMNHEALTHPARTNERS
75G48BAOTHERMNBCBS

General Provider Information

NPI Number : 1326187642
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECUMEN
Provider Business Mailing Address
First Line : 1601 SAINT LOUIS AVE
Second Line :
City : DULUTH
State : MN
Zip : 55802-2442
Country : US
Telephone Number : 218-727-8651
Fax Number :
Provider Business Practice Location Address
First Line : 1601 SAINT LOUIS AVE
Second Line :
City : DULUTH
State : MN
Zip : 55802-2442
Country : US
Telephone Number : 218-727-8651
Fax Number :
Authorized Official
Title or Position : CEO,PRESIDENT
Name : MS. KATHRYN R ROBERTS
Credential :
Telephone Number : 651-766-4313
Provider Enumeration Date : 02/05/2007
Last Update Date : 03/17/2010

Similar Medicare Providers

1639219272 — ECUMEN
Practice Location Address:
1601 SAINT LOUIS AVE
DULUTH, MN
55802-2442
Practice Phone: 218-727-8651
Practice Fax: 218-727-1761
1609098474 — SARA ELIZABETH FOUTS OTR-L
Practice Location Address:
1601 SAINT LOUIS AVE
DULUTH, MN
55802-2442
Practice Phone: 218-740-3036
Practice Fax:
1821433426 — BAYSHORE DULUTH MANAGEMENT, LLC
Practice Location Address:
1601 SAINT LOUIS AVE
DULUTH, MN
55802-2442
Practice Phone: 218-727-8651
Practice Fax:
1104265644 — BAYSHORE DULUTH MANAGEMENT, LLC
Practice Location Address:
1601 SAINT LOUIS AVE
DULUTH, MN
55802-2442
Practice Phone: 218-727-8651
Practice Fax:
1619365574 — KENDRA CAYWOOD M.A., CCC-SLP
Practice Location Address:
1601 SAINT LOUIS AVE
DULUTH, MN
55802-2442
Practice Phone: 218-727-8651
Practice Fax:
1386006955 — DULUTH NURSING AND REHABILITATION CENTER, LLC
Practice Location Address:
1601 SAINT LOUIS AVE
DULUTH, MN
55802-2442
Practice Phone: 218-727-8651
Practice Fax: 218-727-1761

Directions to “ECUMEN ” Practice Location

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