Tamernic

LBN: Tamernic
Tamernic is an health care organization with primary practice located at 270 W Milkiway Ave , Lake Lillian MN 56253. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Tamernic can be contacted via phone (763) 607-1120, or through Goedel, Nicholas Jeryl via phone (763) 607-1120.

Contact Information

Primary practice address
270 W Milkiway Ave Lake Lillian MN 56253
Phone: (763) 607-1120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goedel, Nicholas Jeryl
Phone: (763) 607-1120

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1376272088
LBN Legal business name Tamernic
DBA Doing business as
Authorized official Goedel, Nicholas Jeryl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2022
Last updated Aug 19th, 2022 - about 4 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 1376272088 NPPES
Minnesota Other 1110595 245D LICENSE
Minnesota Other 1112662 245D LICENSE

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