Benedictine Care Centers

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

328483 Issued in MN

Legal business name

BENEDICTINE CARE CENTERS

Doing business as

St. Isidore Health Center of Greenwood Prairie

Practice address

800 2ND Avenue NW
Plainview, MN 55964-1097

Phone

(507) 534-3191

Fax

(507) 534-2778

NPI assigned

Sep 16, 2005

Last updated

Aug 23, 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

Paula Lewis

Title

Ceo/Administrator

Phone

(507) 534-3191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Isidore Health Center of Greenwood Prairie 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": "1377216000000",
    "number": "1679568505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVENUE NW",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641097",
            "telephone_number": "507-534-3191",
            "fax_number": "507-534-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVENUE NW",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641097",
            "telephone_number": "507-534-3191",
            "fax_number": "507-534-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "507-534-3191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Isidore Health Center of Greenwood Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alane M Booth, PA-C
• Nicole Heather Borgschatz, RN
• Jackie Anne Bruss
• Craig Chastek
• City of Plainview (Plainview Ambulance)

• Skilled Nursing Facility in Plainview, MN
• Providers in Plainview, 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 23, 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.