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Contact Information

PENNINGTON HEALTH SERVICES
130 LABREE AVENUE SOUTH
THIEF RIVER FALLS, MN56701
 Phone: 320-589-4902
 Fax: 320-589-2543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for PENNINGTON HEALTH SERVICES

NPI Number 1932280120
LBN Legal business name PENNINGTON HEALTH SERVICES
Authorized official CURTIS BACH - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/17/2006
Last updated 02/05/2025 - More than a year ago
Identifiers
MN Medicaid 591605000
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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