National Provider Identifier Database

DEER RIVER HEALTHCARE CENTER INC
Critical Access

Contact Information

DEER RIVER HEALTHCARE CENTER, INC.
115 10TH AVE NE
DEER RIVER, MN  56636-8795
Phone: 218-246-2900
Fax: 218-246-3013
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Adult Day Care 261QA0600X
Assisted Living Facility 310400000X
Bus 347B00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Land Transport 3416L0300X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for DEER RIVER HEALTHCARE CENTER, INC.

NPI Number 1225049018
Legal business name
LBN		 DEER RIVER HEALTHCARE CENTER, INC.
Authorized official KEVIN BOREN - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 08/10/2006
Last updated 04/07/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 204876-9
  • MN License #: 331194
  • MN License #: 333123
  • MN License #: 800862-1-ADC
  • MN Medicaid: 1225049018
  • MN Other: 1604HCO BLUE CROSS
  • MN Other: 5025365 MEDICA
  • MN Other: 1021626 PREFERRED ONE
  • MN Other: 300367 UCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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