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Contact Information

MARTIN LM LLC
1401 E 100TH ST
BLOOMINGTON, MN55425
 Phone: 952-888-7751
 Fax: 952-698-3626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for MARTIN LM LLC

NPI Number 1629148929
LBN Legal business name MARTIN LM LLC
Authorized official DENVER KAUFMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/08/2006
Last updated 08/03/2009 - About 17 years ago
Identifiers
MN License # 343053
MN Medicaid 180482000
MN Other 8606MA BLUE CROSS BLUE SHIELD
MN Other 71-22647 MEDICA
MN Other NH0033 UCARE
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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