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Contact Information

AUTUMN HILLS OF BEMIDJI, INC.
2528 PARK AVE NW
BEMIDJI, MN56601
 Phone: 218-333-3854
 Fax: 218-333-3855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for AUTUMN HILLS OF BEMIDJI, INC.

NPI # 1619199916
LBN Legal business name AUTUMN HILLS OF BEMIDJI, INC.
Authorized official SHELLEY CLOOSE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 332829
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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