NPIMap

Organization Active NPI

Kittson Memorial Hospital Association

Doing business as River's Edge

  • Assisted Living Facility
  • Hallock, MN
National Provider Identifier
1336300326
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
337988 Issued in MN
Legal business name
KITTSON MEMORIAL HOSPITAL ASSOCIATION
Doing business as
River's Edge
Practice address
1010 S Birch Ave
Hallock, MN 56728
Phone
(218) 843-3662
Fax
(218) 843-2487
NPI assigned
Jun 23, 2008
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
KITTSON MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Jeni Schwenzfeier
Title
Cfo
Phone
(218) 843-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 337988 MN Primary

Addresses

Primary practice location

1010 S Birch Ave
Hallock, MN 56728

Mailing address

513 10TH Street SE
Hallock, MN 56728
Phone (218) 843-8812

Other names 1

  • River's Edge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwestern MN HLTH CL7 organizations share this tax ID, including this one
Part of
Northwestern MN HLTH CL

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1336300326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 10TH STREET SE",
            "city": "HALLOCK",
            "state": "MN",
            "postal_code": "56728",
            "telephone_number": "218-843-8812",
            "fax_number": "218-843-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S BIRCH AVE",
            "city": "HALLOCK",
            "state": "MN",
            "postal_code": "56728",
            "telephone_number": "218-843-3662",
            "fax_number": "218-843-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTSON MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KITTSON MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SCHWENZFEIER",
        "authorized_official_first_name": "JENI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-843-3802"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "337988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallock, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.