Health Services Network, Inc
Organization Active NPI Assisted Living Facility · Fosston, MN
NPI 1124051818 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124051818
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 330232 (MN)
- Legal business name
- HEALTH SERVICES NETWORK, INC
- Practice address
- 115 1St St E
Fosston, MN 56542-1335 - Phone
- (218) 435-6333
- Fax
- (218) 435-6336
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Allen Potvin
- Title
- President
- Phone
- (218) 435-6205
Subparts reporting this organization as parent 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1090457 | Cornerstone Residence Fosston | Certificate of waiver | Oct 9, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 330232 | MN | Yes |
Addresses
Primary practice location
115 1St St E
Fosston, MN 56542-1335
Mailing address
115 1St St E
Fosston, MN 56542-1335
Phone (218) 435-6333
Other names
- CORNERSTONE RESIDENCE
Other providers in Fosston, MN
- Jennifer Francis
- Karissa Goetsch
- Camille J Hagen
- David E. Halvorson
- Headwaters Health PC
- Leah Ann Hemmingsen
- Jordyn M Himley
- Kari Hitchen
- Independent School District #601
- Amanda Christine Jackson-Morgan
All providers in Fosston, 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.