Baker Park
Organization Active NPI Assisted Living Facility · Bemidji, MN
NPI 1073897641 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1073897641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 349267 (MN)
- Legal business name
- BAKER PARK
- Practice address
- 1000 Anne St NW
Bemidji, MN 56601-5109 - Phone
- (218) 751-0220
- Fax
- (218) 333-6514
- NPI assigned
- Sep 30, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- SANFORD HEALTH OF NORTHERN MINNESOTA
Authorized official
- Name
- Mr. Jon F Bergquist
- Title
- Business Office Manager
- Phone
- (218) 333-5514
National Provider Directory
- Part of
- North Country Health SE
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 349267 | MN | Yes |
Addresses
Primary practice location
1000 Anne St NW
Bemidji, MN 56601-5109
Mailing address
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-6514
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106240900 | Medicaid | MN |
Other providers in Bemidji, MN
- Tiffany Alicia Axtman
- Alexandra Patricia Bader
- Sanggyu Bae
- Bonnie Margaret Bailey
- Prabhdeep Kaur Bajwa
- Sarah Lee Baker
- Jonetta H Bakke
- Hilton J Bakker
- Balanced Counseling and Consulting PLLC
- Taci Ball
All providers in Bemidji, MN · Assisted Living 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 Apr 23, 2013. 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.