Central Todd County Care Center, Inc.

LBN: Central Todd County Care Center, Inc.
Central Todd County Care Center, Inc. is an health care organization with primary practice located at 406 Highway 71 E , Clarissa MN 56440-2000. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Central Todd County Care Center, Inc. can be contacted via phone (218) 756-3636, or through Polovick, Jason E via phone (218) 756-3636.

Contact Information

Primary practice address
406 Highway 71 E Clarissa MN 56440-2000
Phone: (218) 756-3636
Fax: (218) 756-2276
Website:
Map and Directions
Authorized official contact:
Name: Polovick, Jason E LNHA
Phone: (218) 756-3636

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 329956 Minnesota
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328579 Minnesota

Profile Details

NPI number 1003899402
LBN Legal business name Central Todd County Care Center, Inc.
DBA Doing business as
Authorized official Polovick, Jason E LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Jan 20th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003899402 NPPES
Minnesota MEDICAID 785540100

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