RANGE REGIONAL HEALTH SERVICES
Alzheimer Center
Hibbing, Minnesota
Provider NPI: 1477512713
Organization Information:Organization Name: RANGE REGIONAL HEALTH SERVICES
Practice Location:
3520 7TH AVE E HIBBING, MN 55746 US
Tel: 218-262-5139 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3520 7TH AVE E HIBBING, MN 55746 US
Tel: 218-262-5139 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MN | 329455 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MN | 329458 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MN | 329550 |
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MN | 329456 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UCARE | AL0210 | MN | 01 |
MEDICA | 4980623 | MN | 01 |
008718100 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin