Foundation for Rural Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00156 Issued in MN

Legal business name

FOUNDATION FOR RURAL HEALTH CARE

Doing business as

Pelican Lake Health Care Center

Practice address

305 Melby Ave
Ashby, MN 56309-4660

Phone

(218) 747-2224

Fax

(218) 747-2475

NPI assigned

Sep 27, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Coral Blaze, RN,C RAC-C

Title

Ceo/Cfo

Phone

(952) 435-7371

Specialties & licenses 1

Addresses

Other names 1

• Pelican Lake Health Care Center Doing business as

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275529927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 155TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065405",
            "telephone_number": "952-435-7371",
            "fax_number": "952-892-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MELBY AVE",
            "city": "ASHBY",
            "state": "MN",
            "postal_code": "563094660",
            "telephone_number": "218-747-2224",
            "fax_number": "218-747-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR RURAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAZE",
        "authorized_official_first_name": "CORAL",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "952-435-7371",
        "authorized_official_credential": "RN,C RAC-C"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "00156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelican Lake Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashby Holdings, LLC (Ashby Living Center)
• Ashby Living Center Inc.
• Terra L Berglund
• Fergus Falls Medical Group, P.a.
• Ind School Dist 261
• Haley Marie Ness
• Purpose Home Healthcare
• Village of Ashby (Ashby Fire Department Ambulance)

• Skilled Nursing Facility in Ashby, MN
• Providers in Ashby, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.