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NPI Code Detail

MEDICARE: ST. FRANCIS HOME

MEDICARE: ST. FRANCIS HOME
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 Facility326703MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18581OTHERNDBLUE CROSS PROVIDER NO.
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31556EFROTHERMNBLUE CROSS PROVIDER NO.
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588657118
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. FRANCIS HOME
Provider Business Mailing Address
First Line : 2400 ST. FRANCIS DRIVE
Second Line :
City : BRECKENRIDGE
State : MN
Zip : 56520
Country : US
Telephone Number : 218-643-3000
Fax Number : 218-643-0870
Provider Business Practice Location Address
First Line : 2400 ST. FRANCIS DRIVE
Second Line :
City : BRECKENRIDGE
State : MN
Zip : 56520
Country : US
Telephone Number : 218-643-3000
Fax Number : 218-643-0870
Authorized Official
Title or Position : FINANCE ANALYST
Name : MRS. NANCY WHITNEY
Credential :
Telephone Number : 218-643-0402
Provider Enumeration Date : 08/30/2005
Last Update Date : 01/06/2015

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Directions to “ST. FRANCIS HOME ” Practice Location

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