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Contact Information

BRIDGEWAY ESTATES
103 12TH ST. NE
LITTLE FALLS, MN56345
 Phone: 320-632-2089
 Fax: 320-632-2097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for BRIDGEWAY ESTATES

NPI Number 1043235716
LBN Legal business name BRIDGEWAY ESTATES
Authorized official MERLIN KOESTER - (BOARD OF DIRECTORS, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 330186
MN Other 4980473 MEDICA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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