PREMIER HEALTHCARE MANAGEMENT OF SANDSTONE, LLC
Skilled Nursing Facility
Sandstone, Minnesota
Provider NPI: 1649273087
Organization Information:Organization Name: PREMIER HEALTHCARE MANAGEMENT OF SANDSTONE, LLC
Practice Location:
109 COURT AVE S SANDSTONE, MN 55072 US
Tel: 320-245-3150 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:
109 COURT AVE S SANDSTONE, MN 55072 US
Tel: 320-245-3150 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 361354 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS OF MINNESOTA | 3B24EPI | MN | 01 |
475213900 | MN | 05 | |
MEDICA | 7114053 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin