National Provider Identifier Database

BEAR CREEK SERVICES
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

BEAR CREEK SERVICES
3108 HWY 52 N
ROCHESTER, MN55901-1916
Phone: 507-288-7195
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for BEAR CREEK SERVICES

NPI Number 1083880488
Legal business name
LBN
BEAR CREEK SERVICES
Authorized official DIANE SELLNER - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/06/2008
Last updated 05/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 917017100

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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