Halstad Living Center

LBN: Halstad Living Center
Halstad Living Center is an health care organization with primary practice located at 133 4Th Ave E , Halstad MN 56548-4114. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Halstad Living Center can be contacted via phone (218) 456-2105, or through Fuglie, Dwight A via phone (218) 456-2105.

Contact Information

Primary practice address
133 4Th Ave E Halstad MN 56548-4114
Fax: (218) 456-2290
Website:
Authorized official contact:
Name: Fuglie, Dwight A LICENSED ADM.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328227 Minnesota

Profile Details

NPI number 1629066824
LBN Legal business name Halstad Living Center
DBA Doing business as Halstad Living Center
Authorized official Fuglie, Dwight A LICENSED ADM.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 11th, 2005
Last updated Mar 22nd, 2012 - about 14 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 1629066824 NPPES
Minnesota MEDICAID 075740300
Minnesota Other 7122758
Minnesota Other 23605
Minnesota MEDICAID 30280
Minnesota Other 9506 HA

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