Kelliher Care Center Inc.
Organization Active NPI Skilled Nursing Facility · Kelliher, MN
NPI 1013940758 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013940758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 328687 (MN)
- Legal business name
- KELLIHER CARE CENTER INC.
- Practice address
- 312 Main Street
Kelliher, MN 56650-0189 - Phone
- (218) 647-8258
- Fax
- (218) 647-8483
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Allen Potvin
- Title
- Presidnet
- Phone
- (218) 435-6205
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 328687 | MN | Yes |
Addresses
Primary practice location
312 Main Street
Kelliher, MN 56650-0189
Mailing address
PO Box 189
Kelliher, MN 56650-0189
Phone (218) 647-8258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7189753 | Other | MN | MEDICA |
| 8575KE | Other | MN | BLUE CROSS OF MN |
Other providers in Kelliher, MN
All providers in Kelliher, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.