Bear Creek Services

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

BEAR CREEK SERVICES

Practice address

3108 Hwy 52 N
Rochester, MN 55901-1916

Phone

(507) 288-7195

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Diane Sellner

Title

Program Director

Phone

(507) 288-7195

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Allendale House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allendale House

  • Intellectual Disabilities Intermediate Care Facility
  • Rochester, MN
  • NPI 1508033580
  NPD tax ID

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1083880488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 HWY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 HWY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011916",
            "telephone_number": "507-288-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SELLNER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "507-288-7195"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917017100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Daniel Beachey, M.D.
• Lara Louise Beacom, APRN, CNP
• Elena N Beam, MD
• William B Beam, MD
• Jessica Bean, MOTR/L
• Samuel Bear, DPT
• Rylan David Bearden, PA-C
• Charles Wayne Beatty, M.D.
• Joseph Beatty, D.D.S.
• Paul D Beatty

• Intellectual Disabilities Intermediate Care Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Intellectual Disabilities Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.