Vacker Place

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

VACKER PLACE

Practice address

22851 MN Highway 15
Dassel, MN 55325-3568

Phone

(320) 275-5517

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By 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

Michelle Olson

Title

Administrator

Phone

(320) 275-4611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Ranch - Dassel Former legal business name

Tax ID family

Lakeview Ranch - Dassel2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vacker Place

  • Alzheimer Center (Dementia Center)
  • Darwin, MN
  • NPI 1518362979
  NPD tax ID

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1346645215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69531 213TH ST",
            "city": "DARWIN",
            "state": "MN",
            "postal_code": "553246602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22851 MN HIGHWAY 15",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "553253568",
            "telephone_number": "320-275-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACKER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-275-4611"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "1083942221",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Ranch - Dassel",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark Alan Mohler, MSPT
• Kenneth D Ness, D.D.S
• Peterson Pharmacy Incorporated (Peterson Pharmacy Inc.)
• Patricia I Rasmussen, MD
• Rehabvisions
• Winsted Dental PLLC (Dassel Dental)

• Alzheimer Center (Dementia Center) in Dassel, MN
• Providers in Dassel, MN by specialty
• Alzheimer Center (Dementia Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.