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

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1090457Cornerstone Residence Fosston
115 1St Street East, Fosston, MN 56542
Certificate of waiverOct 9, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Other providers in Fosston, MN

All providers in Fosston, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.