Organization Active NPI

Madison Healthcare Services

Doing business as Madison Lutheran Home

  • Clinic/Center
  • Madison, MN
National Provider Identifier
1639273196
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MADISON HEALTHCARE SERVICES
Doing business as
Madison Lutheran Home
Practice address
900 2ND Ave
Madison, MN 56256-1006
Phone
(320) 598-7551
NPI assigned
Sep 12, 2006
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Mrs. Carol M Borgerson
Title
Cfo
Phone
(320) 698-7152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

900 2ND Ave
Madison, MN 56256-1006

Mailing address

900 2ND Ave
Madison, MN 56256-1006
Phone (320) 598-7551

Other names 1

  • Madison Lutheran Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1639273196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7551",
            "fax_number": "320-598-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "BORGERSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-698-7152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Lutheran Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.