Benedictine Care Centers

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

326978 Issued in MN

Legal business name

BENEDICTINE CARE CENTERS

Doing business as

St. Brigid's at Hi-Park

Practice address

213 Pioneer Rd
Red Wing, MN 55066-3921

Phone

(651) 388-1234

Fax

(651) 385-5444

NPI assigned

Sep 16, 2005

Last updated

Sep 3, 2013By 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

Mr. Mike Schultz

Title

Administrator

Phone

(651) 388-1234

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St. Brigid's at Hi-Park Doing business as

Locations

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1316932254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PIONEER RD",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550663921",
            "telephone_number": "651-388-1234",
            "fax_number": "651-385-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PIONEER RD",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550663921",
            "telephone_number": "651-388-1234",
            "fax_number": "651-385-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-388-1234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "326978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178977500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "9691HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER #",
            "identifier": "NH0459",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Brigid's at Hi-Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lucinda G Beise, COTA
• Laurie J Bell
• Benedictine Care Centers
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• Jeri Lynn Benser, RN
• Brian R Bergan, DDS
• Jeremy Scott Berger, D.D.S.

• Skilled Nursing Facility in Red Wing, MN
• Providers in Red Wing, 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 Sep 3, 2013; 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.