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Contact Information

425 N BADGER STREET CALEDONIA OPCO LLC
425 N BADGER ST
CALEDONIA, MN55921
 Phone: 507-725-3351
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 425 N BADGER STREET CALEDONIA OPCO LLC

NPI Number 1194210997
LBN Legal business name 425 N BADGER STREET CALEDONIA OPCO LLC
Authorized official MARK MYERS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2018
Last updated 06/29/2018 - About 8 years ago
Identifiers n/a
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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