County of Dodge

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

331818 Issued in MN

Legal business name

COUNTY OF DODGE

Doing business as

Fairview Care Center

Practice address

702 10TH Ave NW
Dodge Center, MN 55927-9172

Phone

(507) 374-2578

Fax

(507) 374-2907

NPI assigned

Aug 30, 2006

Last updated

Nov 19, 2024By 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

Kelly Ellis, NURSING HOME ADMINIS

Title

Administrator

Phone

(507) 635-6401

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• FAIRVIEW CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689783987. Details of each certification follow.

• CCN 245344 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245344

Legal name

COUNTY OF DODGE

Doing business as

FAIRVIEW CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1986

Last certification

Jan 16, 2025

Beds

55 (46 certified)

Ownership / control type

County

Organization structure

GovernmentNon-profit

Enrollment address

702 10TH Ave NW
Dodge Center, MN 55927-9172

Nursing home name

FAIRVIEW CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Dodge

  dba Dodge County Public Health

  • State or Local Public Health Clinic/Center
  • Dodge Center, MN
  • NPI 1619002680

  5799685384

  Same PAC ID

Listed as

Fairview Care CenterCCN 245344 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Oct 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4643.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

County of Dodge3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Dodge

  dba Dodge County Public Health

  • State or Local Public Health Clinic/Center
  • Dodge Center, MN
  • NPI 1619002680
  NPD tax ID
• Dodge County Human Services

  • Public Health or Welfare Agency
  • Mantorville, MN
  • NPI 1225337173
  NPD tax ID

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kyle M McKenzie, MD

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1942595012

  Adp of the SNF

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle M McKenzie, MD

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1942595012
  NPD (past)
• Mayra L Monarrez

  • Community Health Worker
  • Dodge Center, MN
  • NPI 1790412625
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kyle M McKenzie, MD

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1942595012

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1689783987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "702 - 10TH AVENUE N.W.",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559270010",
            "telephone_number": "507-374-2578",
            "fax_number": "507-374-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 10TH AVE NW",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559279172",
            "telephone_number": "507-374-2578",
            "fax_number": "507-374-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-635-6401",
        "authorized_official_credential": "NURSING HOME ADMINIS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331818",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH COUNTRY HEALTH ALLI",
            "identifier": "NH0452",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13420100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9658FA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134240100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRVIEW CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Lynn Bottema
• Michelle Brannick
• Bethany Buus, M.S., CCC-SLP
• City of Dodge Center
• County of Dodge (Dodge County Public Health)
• Dodge Center Chiropractic Office, P.a.
• Paul J Donnay, DDS
• William Bryan Edwards, LADC
• Eleanor (Ellie) Freerksen, MS
• Sarah Lynn Hall, SLP

• Skilled Nursing Facility in Dodge Center, MN
• Providers in Dodge Center, 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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.