Granite Falls Municipal Hospital and Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

8828655 Issued in MN

Legal business name

GRANITE FALLS MUNICIPAL HOSPITAL AND MANOR

Practice address

250 Jordan Dr
Granite Falls, MN 56241-1798

Phone

(320) 564-6298

NPI assigned

Jan 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George J Gerlach

Title

Administrator/Ceo

Phone

(320) 564-3111

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1003886763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 JORDAN DR",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411798",
            "telephone_number": "320-564-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 JORDAN DR",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411798",
            "telephone_number": "320-564-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE FALLS MUNICIPAL HOSPITAL AND MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "320-564-3111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "8828655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375340900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SKILLED NSG FACILITY",
            "identifier": "1664NMU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Fromm
• Gregory Gill
• Granite Drug Inc
• Granite Falls Eyecare Inc.
• Granite Falls Family Dentistry
• Granite Falls Municipal Hospital and Manor
• Granite Falls Municipal Hospital and Manor
• Granite Falls Municipal Hospital and Manor
• Granite Falls Municipal Hospital and Manor
• Granite Family Chiropractic Center, PC

• All providers in Granite Falls, MN
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.